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Nocturnal Enuresis.

Robin A Walker1

  • 1Department of Family and Community Medicine, University of Kansas School of Medicine-Wichita, 1010 North Kansas, Wichita, KS 67214, USA; Wesley Family Medicine Residency Program, Wichita, KS 67214, USA.

Primary Care
|April 30, 2019
PubMed
Summary
This summary is machine-generated.

Nocturnal enuresis, or bedwetting, is common in children and usually resolves naturally. Reassure parents that it is nonvolitional, and focus on behavioral interventions, with medication as a secondary option.

Keywords:
EnuresisPrimary careTreatmentUrology

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Area of Science:

  • Pediatrics
  • Urology
  • Child Psychology

Background:

  • Nocturnal enuresis is a frequent pediatric concern in primary care.
  • Most cases are primary, meaning not caused by another medical condition.
  • Understanding the nonvolitional nature is key for parental reassurance.

Purpose of the Study:

  • To provide guidance on managing nocturnal enuresis in children.
  • To emphasize the importance of a thorough history to exclude secondary causes.
  • To highlight effective management strategies for primary nocturnal enuresis.

Main Methods:

  • Detailed patient history to differentiate primary from secondary enuresis.
  • Parental education to demystify the condition and promote reassurance.
  • Implementation of behavioral interventions tailored to the child's engagement.

Main Results:

  • Most children naturally outgrow nocturnal enuresis.
  • Behavioral interventions are the first-line treatment and are most effective with child involvement.
  • Medications can be effective when used alongside behavioral strategies.

Conclusions:

  • Nocturnal enuresis management requires a multi-faceted approach.
  • Parental education and behavioral interventions are crucial for successful outcomes.
  • Medication serves as an adjunct to behavioral therapy in treating childhood bedwetting.