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[Enuresis and voiding disorders in childhood]

E Girardin1, P Parvex, F Cachat

  • 1Département de pédiatrie, Hôpital des enfants, 8, rue Willy-Donzé, 1211 Genève 14. eric.girardin@hcuge.ch

Revue Medicale Suisse
|March 26, 2005
PubMed

Insights

Distinguishing between monosymptomatic and polysymptomatic nocturnal enuresis is crucial for effective treatment. Addressing daytime voiding issues first is key before treating persistent bedwetting in children.

Area of Science:

  • Pediatrics
  • Urology

Context:

  • Nocturnal enuresis is a prevalent condition managed by primary care physicians.
  • Accurate diagnosis requires differentiating between monosymptomatic nocturnal enuresis and polysymptomatic enuresis, which presents with daytime voiding abnormalities.

Purpose:

  • To emphasize the importance of distinguishing between monosymptomatic and polysymptomatic nocturnal enuresis.
  • To highlight the different diagnostic and treatment pathways for these two conditions.

Summary:

  • A detailed voiding history is essential to differentiate urge syndrome from other organic causes of enuresis.
  • Management of urge syndrome involves lifestyle adjustments, physiotherapy, medication, and treating urinary tract infections.
  • Nocturnal enuresis treatment should only commence after daytime voiding dysfunctions are resolved.

Impact:

  • Improved patient outcomes through tailored treatment strategies.
  • Enhanced clinical decision-making for primary care physicians managing enuresis.
  • Reduced healthcare burden by optimizing diagnostic and therapeutic approaches.

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