Classification
Primary nocturnal enuresis (NE): 80% of all cases; person who has never established urinary continence on consecutive nights for a period of ≥6 months
Secondary NE: 20% ...
Age of onset, duration, severity
LUT tract symptoms
Daily intake patterns
Voiding and stooling patterns (voiding diary)
Psychosocial history
Family history of enuresis
Investigation and pre...
Use nonpharmacologic approaches as first line before prescribing medications (1)[A].
Simple behavioral interventions (e.g., scheduled wakening, positive reinforcement, bladder...
When starting with nonpharmacologic treatment, patient should be seen in clinic every 1 to 3 months.
If starting enuresis alarm, patient should r...
Incontinence, Urinary Adult Female; Incontinence, Urinary Adult Male
Algorithm: Enuresis, Secondary
N39.44 Nocturnal enuresis
R32 Unspecified urinary incontinence
F98.0 Enuresis not due to a substance or known physiol condition
788.36 Nocturnal enuresis
788.30 Urinary incontinence, unspec...
Initial evaluation is history, exam, and urinalysis.
For PMNE in children, if the condition is not distressing to child and caretakers, treatment is unnecessary.
Behavioral and lifestyle...
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<bold>Figure 29.4.</bold> Surgical therapy for urinary incontinence. (<bold>A1–A3</bold>) Anterior vaginal wall repair, the Kelly-Kennedy procedure. (<bold>A1</bold>) Anterior vaginal wall is opened and undermined. (<bold>A2</bold>) Paraurethral tissue lateral to the urethrovesical (UV) junction is sutured. (<bold>A3</bold>) This creates a firm bar of tissue that supports the UV junction. (<bold>B1–B4</bold>) Retropubic suspension procedures, the Marshall-Marchetti-Krantz procedure. (<bold>B1</bold>) The suture is placed in the per...
<bold>Figure 29.4.</bold> Surgical therapy for urinary incontinence. (<bold>A1–A3</bold>) Anterior vaginal wall re...
Figure 29.5. Surgical therapy for urinary incontinence. (A1-A3) Anterior vaginal wall repair, the Kelly-Kennedy procedure. (A1) Anterior vaginal wall is opened and undermined. (A2) Paraurethral tissue lateral to the urethrovesical (UV) junction is sutured. (A3) This creates a firm bar of tissue that supports the UV junction. (B1-B4) Retropubic suspension procedures, the Marshall-Marchetti-Krantz procedure. (B1) The suture is placed in the periurethral tissue and then into the pubic periost...
Figure 29.5. Surgical therapy for urinary incontinence. (A1-A3) Anterior vaginal wall repair, the Kelly-Kennedy procedure. (A1) Anterior ...
Figure 29.4. Pessaries. (A) Inflatable. (B) Doughnut. (C) Smith-Hodge. (D) Cube.