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Secondary nocturnal enuresis
1Children's Hospital, Greenville Hospital System, SC 29605-4490, USA.
Clinical Pediatrics
|July 29, 2000
Insights
Secondary nocturnal enuresis, a common cause of bed-wetting, can stem from psychological or other factors. This review covers its impact, causes, and management strategies.
Area of Science:
- Pediatric Urology
- Child Psychology
Background:
- Secondary nocturnal enuresis affects approximately 25% of children experiencing bed-wetting.
- While psychological factors are implicated, other underlying causes must be investigated.
Purpose of the Study:
- To comprehensively review secondary nocturnal enuresis.
- To discuss its epidemiology, psychosocial impact, etiology, diagnostic approaches, treatment, and outcomes.
Main Methods:
- Literature review of epidemiological data.
- Analysis of psychological and social impact studies.
- Synthesis of current evidence on causes, investigation, and management.
Main Results:
- Secondary nocturnal enuresis represents a significant portion of enuresis cases.
- A multifactorial etiology is common, necessitating thorough patient evaluation.
- Effective management strategies exist, improving patient prognosis.
Conclusions:
- Secondary nocturnal enuresis requires a broad differential diagnosis beyond psychological causes.
- Comprehensive assessment and tailored management are crucial for successful treatment.
- Understanding the epidemiology and impact aids in patient care and resource allocation.
Abstract:
Secondary nocturnal enuresis accounts for about one quarter of patients with bed-wetting. Although a psychological cause is responsible in some children, various other causes are possible and should be considered. This article reviews the epidemiology, psychological and social impact, causes, investigation, management, and prognosis of secondary nocturnal enuresis.