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Tips for managing treatment-resistant enuresis

Patrina Hy Caldwell1,2

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

Journal of Paediatrics and Child Health
|October 9, 2018
PubMed

Insights

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.

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.

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