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% ...
Lower urinary tract symptoms
Daily intake patterns, Voiding and stooling patterns (voiding diary); constipation issues
Psychosocial history (patient, parental, school/bullying, etc.)
Fam...
Use nonpharmacologic approaches as first line before prescribing medications (2)[A].
Simple behavioral interventions (e.g., scheduled wakening, positive reinforcement, bladde...
With nonpharmacologic treatment, reassess every 1 to 3 months.
With enuresis alarm, reassess in 1-3 weeks.
With DDAVP, reassess in 1 to 2 weeks, t...
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
8009008 Nocturnal enuresis (disorder)
165232002 urinary inc...
Behavioral and lifestyle interventions are the first-line treatment for PMNE; alarms and desmopressin are the most effective treatments.
Secondary Enuresis: most often due to psychosoci...
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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.