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.
Insights
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.
Introduction:
Enuresis, defined as an intermittent urinary incontinence that occurs during sleep, is a frequent condition, occurring in about 10% of children at 7 years of age. However, it is frequently neglected by the family and by the primary care provider, leaving many of those children without treatment. Despite of many studies in Enuresis and recent advances in scientific and technological knowledge there is still considerable heterogeneity in evaluation methods and therapeutic approaches.
Materials And Methods:
The board of Pediatric Urology of the Brazilian Society of Urology joined a group of experts and reviewed all important issues on Enuresis and elaborated a draft of the document. On September 2018 the panel met to review, discuss and write a consensus document.
Results And Discussion:
Enuresis is a multifactorial disease that can lead to a diversity of problems for the child and family. Children presenting with Enuresis require careful evaluation and treatment to avoid future psychological and behavioral problems. The panel addressed recommendations on up to date choice of diagnosis evaluation and therapies.
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