Enuresis, Pediatric

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%)

• S...

Onset

• 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.

Minimiz...

99% of cases resolve without treatment.

Spontaneous resolution is ~15% per year after age 5 years.

Physical

• Vulvovaginitis

• Diaper dermatitis

Emotional

• Embarrassment

• Poor se...

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

307.6 Enuresis

788.30 Urinary incontinence, unspecified

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...