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 diary and stooling patterns (especially constipation)
Psychosocial history
Family history of enuresis
Inves...
Use nonpharmacologic approaches as first line before prescribing medications (1)[A].
Simple behavioral interventions (e.g., scheduled wakening, positive reinforcement, bladder...
Limit fluid and caffeine intake 2 hours before sleep.
Limit dairy products 4 hours before sleep (decrease osmotic diuresis) (5).
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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