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Tips for managing treatment-resistant enuresis.

Patrina Hy Caldwell^1,2

¹Discipline of Child and Adolescent Health, University of Sydney, Sydney, New South Wales, Australia.

Journal of Paediatrics and Child Health

|October 9, 2018

Summary

Treatment-resistant enuresis (bedwetting) affects many children. This paper explores multidisciplinary management strategies for addressing persistent bedwetting by identifying underlying causes like constipation and sleep disorders.

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Area of Science:

Pediatrics
Urology
Psychology

Background:

Enuresis (bedwetting) is a common condition in school-aged children.
It significantly impacts a child's health, psychosocial well-being, and quality of life.
Approximately 50% of cases exhibit resistance to standard treatments.

Purpose of the Study:

To discuss the management of treatment-resistant enuresis.
To adopt a multidisciplinary approach for addressing persistent bedwetting.
To provide practical strategies for clinicians.

Main Methods:

Literature review and clinical expertise synthesis.
Identification of common causes contributing to treatment resistance.
Multidisciplinary team collaboration in case management.

Main Results:

Treatment resistance in enuresis stems from various factors.
These include lower urinary tract issues, constipation, improper alarm use, sleep disorders (e.g., sleep apnea), and psychological comorbidities.
A coordinated, multidisciplinary approach is crucial for effective management.

Conclusions:

Effective management of treatment-resistant enuresis requires addressing underlying contributing factors.
A multidisciplinary perspective is essential for comprehensive patient care.
Integrated clinical expertise enhances treatment outcomes for children with persistent bedwetting.