<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 6-year-old boy presents to the clinic because of monosymptomatic enuresis for the past month. Urinalysis, detailed patient history, and fluid intake, stool, and voiding diary from a previous visit all show no abnormalities. The parent and child are referred for education and behavioral therapy. Enuresis decreases but persists. Both the patient and his mother express concern and want this issue to resolve as soon as possible. Which of the following is the most appropriate next step in management?? A: Behavioral therapy, B: DDAVP, C: Enuresis alarm, D: Oxybutynin, E: Reassurance,  <response>: This is a question about the management of monosymptomatic enuresis bedwetting in a 6-year-old boy. The initial workup including urinalysis, history, and voiding diary was unremarkable. Education and behavioral therapy were tried initially but enuresis persists, so further management is needed.The choices include additional behavioral therapy, DDAVP desmopressin, enuresis alarm, oxybutynin, and reassurance. At this stage, an enuresis alarm would be the most appropriate next step in management as it is considered first-line therapy along with desmopressin for monosymptomatic enuresis that persists after initial education and behavioral modifications. Desmopressin could also be reasonable but enuresis alarms have higher long-term success rates. Oxybutynin is not typically used for monosymptomatic enuresis. Additional behavioral therapy or reassurance alone would likely not be adequate at this point.C: Enuresis alarm 