Brazilian consensus in enuresis-recomendations for clinical practice.
José Murillo Bastos1, Atila Victal Rondon2, George Rafael Martins de Lima3
1Universidade Federal de Juiz de Fora (UFJF) e Hospital e Maternidade Therezinha de Jesus da Faculdade de Ciências Médicas e da Saúde de Juiz de Fora (HMTJ-SUPREMA), Juiz de Fora, MG, Brasil.
Bedwetting (enuresis) affects 10% of children, often neglected despite its impact. This consensus document provides updated guidance on diagnosing and treating childhood enuresis to improve outcomes.
Area of Science:
- Pediatric Urology
- Child Health
- Sleep Medicine
Background:
- Enuresis, or involuntary urination during sleep, affects approximately 10% of 7-year-olds.
- It is often overlooked by families and healthcare providers, leading to undertreatment.
- Significant variability exists in current diagnostic and therapeutic strategies for enuresis.
Purpose of the Study:
- To establish a consensus document on enuresis management.
- To provide updated recommendations for the evaluation and treatment of childhood enuresis.
- To address the multifactorial nature of enuresis and its impact on children and families.
Main Methods:
- A panel of experts from the Brazilian Society of Urology's Pediatric Urology board convened.
- Existing literature on enuresis was reviewed.
- A consensus document was drafted, reviewed, and finalized in September 2018.
Main Results:
- Enuresis is a multifactorial condition requiring thorough evaluation.
- Recommendations cover current diagnostic approaches and therapeutic options.
- Addressing enuresis is crucial to prevent long-term psychological and behavioral issues.
Conclusions:
- Standardized evaluation and treatment protocols for enuresis are needed.
- Expert consensus provides a framework for improved clinical practice.
- Timely intervention can mitigate the adverse effects of enuresis on child development.
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