Practice parameter for the assessment and treatment of children and adolescents with enuresis

Area of Science:

• Child Psychiatry
• Pediatrics
• Urology

Background:

• Enuresis is a common symptom in pediatric psychiatric evaluations.
• Requires thorough assessment for urologic, developmental, psychosocial, and sleep-related causes.
• Specific etiology is often undetermined in most pediatric cases.

Framework:

• Assessment strategies for enuresis.
• Treatment modalities including supportive care, urine alarms, and pharmacotherapy.
• Addressing psychosocial consequences is crucial.

Implementation:

• Careful assessment to identify potential etiologies.
• Utilizing conditioning with urine alarms.
• Administering medications such as imipramine or desmopressin acetate.

Implications:

• Effective management of enuresis requires a comprehensive approach.
• Addressing psychosocial distress associated with enuresis is vital.
• Improved understanding of enuresis management in child psychiatric settings.