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Related Experiment Videos

Enuresis and dysfunctional elimination.

Paul F Austin1, Douglas E Coplen

  • 1Washington University School of Medicine, St. Louis Children's Hospital, USA. austinp@wudosis.wustl.edu

Missouri Medicine
|November 21, 2007
PubMed
Summary
This summary is machine-generated.

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Day and night wetting, or enuresis, are common in children. While nighttime wetting is often harmless, daytime wetting requires medical attention and specific treatment plans, especially when constipation is present.

Area of Science:

  • Pediatric Urology
  • Pediatric Nephrology

Background:

  • Day and night wetting (enuresis) are prevalent pediatric urological issues.
  • Isolated nocturnal enuresis typically lacks underlying functional or anatomical causes.
  • Diurnal enuresis, occurring after toilet training, warrants medical evaluation.

Purpose of the Study:

  • To differentiate between nocturnal and diurnal enuresis.
  • To highlight the importance of addressing diurnal enuresis subtypes with tailored treatments.
  • To emphasize the impact of constipation on enuresis management.

Main Methods:

  • Clinical assessment of pediatric patients presenting with enuresis.
  • Classification of enuresis into nocturnal and diurnal subtypes.
  • Evaluation for associated conditions, particularly constipation.

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Main Results:

  • Nocturnal enuresis is generally benign.
  • Diurnal enuresis necessitates specific diagnostic and therapeutic approaches.
  • Constipation frequently coexists with enuresis and complicates treatment outcomes.

Conclusions:

  • Diurnal enuresis requires prompt and individualized management.
  • Addressing constipation is crucial for successful enuresis therapy.
  • Primary care physicians can manage most cases, with specialist referral for complex or refractory conditions.