Involuntary, urinary incontinence after age of expected bladder control; term generally reserved for children ≥5 years of age; may be
Primary: has never been “dry” for 6 months (80%)
Nocturnal versus diurnal
Dry period (even if only weeks)
Concomitant recent onset of polydipsia (sometimes accompanied by candidal infections, weight loss) suggests new-onset diabe...
If the problem is affecting only the parents and child is not affected, the treatment should be education and support for the parents.
Avoid all negative interventions.
99% of cases resolve without treatment.
Spontaneous resolution is ~15% per year after age 5 years.
Arda E, Cakiroglu B, Thomas DT. Primary nocturnal enuresis: a review. Nephrourol Mon. 2016;8(4):e35809. [View Abstract on OvidInsights]
Fagundes SN, Lebl AS, Azevedo Soster L, ...
788.30 Urinary incontinence, unspecified
788.36 Nocturnal enuresis
R32 Unspecified urinary incontinence
N39.44 Nocturnal enuresis
Q: Do the medications cure the enuresis?
A: None of the medications cure the problem. DDAVP works as an anti-diuretic, reducing the amount of water that is released as urine, resulting in decreased...
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