Management of primary nocturnal enuresis

Most parents believe that their child should not be wetting the bed by age 5. Statistics show that 10% to 20% of 5 year olds continue with a least one episode of nocturnal enuresis per month. There is evidence that successful treatment leads to improved self-concept in children (Moffatt, Kato, & Pless, 1987). Treatment consists of various behavior modifications or pharmacologic regimes. Nurses and nurse practitioners in family practice, pediatric practice, school health, and urologic practice are in ideal roles to seek out and manage children with primary nocturnal enuresis.