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An approach to daytime wetting in children
W Lane M Robson1, Alexander K C Leung
1The Childrens' Clinic, Suite 111, 4411 16th Avenue NW, Calgary, Alberta T3B OM3, Canada. lanerobson@msn.com
Insights
Daytime wetting in children is common and usually diagnosed with history, exam, and urinalysis. Most cases resolve with conservative treatment, avoiding invasive procedures.
Area of Science:
- Pediatric urology
- Childhood incontinence research
Background:
- Daytime wetting (diurnal enuresis) is a prevalent pediatric issue.
- Understanding the diverse etiologies of daytime wetting is crucial for effective management.
Purpose of the Study:
- To outline the diagnostic approach for daytime wetting in children.
- To emphasize conservative management strategies for diurnal enuresis.
Main Methods:
- Review of diagnostic methods including patient history, physical examination, and urinalysis.
- Evaluation of treatment outcomes for conservative therapies.
Main Results:
- A comprehensive history, physical exam, and urinalysis are typically sufficient for diagnosis.
- Conservative therapeutic approaches yield successful outcomes in the majority of pediatric cases.
Conclusions:
- Most children with daytime wetting can be effectively managed with conservative measures.
- Invasive diagnostic studies and interventions are reserved for select pediatric patients.
Abstract:
Daytime wetting is a common problem with various causes that can usually be identified through a careful history, thorough physical examination, and urinalysis. Conservative approaches to therapy have a successful outcome in most children. Invasive diagnostic imaging studies and pharmacologic or surgical intervention are necessary only for carefully selected children.
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