Daytime Incontinence, Pediatric

Daytime wetting in a child ≥5 years of age warrants evaluation.

Causes of functional incontinence include an array of bladder storage and voiding disorders.

Voiding dysfunction is abno...

Onset (primary vs. secondary)

Frequency and degree of wetting

Presence or absence of any dry interval

Frequency of voiding

Signs of urgency, use of hold maneuvers, waiting until the last ...

Aggressive management of bowels so that child is passing at least one soft bowel movement daily (see “Constipation”) ≥5 years old

Adequate hydration

Bolus water drinking

Elimina...

Spontaneous cure rate of 14% per year without treatment

72% of patients sustained improvement 1 year after simple behavioral therapy.

Local irritation and inflammation...

Deshpande AV, Craig JC, Smith GH, et al. Management of daytime urinary incontinence and lower urinary tract symptoms in children. J Paediatr Child Health.  2012;48(2):E44–E52. ...

788.30 Urinary incontinence, unspecified

788.39 Other urinary incontinence

R32 Unspecified urinary incontinence

N39.498 Other specified urinary incontinence

281862002 Daytime enuresis

...

Q: What is normal voiding frequency for a child?

A: Children between 5 and 12 years of age should void 6 to 7 times per day, or about every 2 to 3 hours. This pattern sometimes doesn’t fit into the...