Evaluation and management of enuresis in the general paediatric setting

Area of Science:

• Pediatric Nephrology
• Urology
• Child Psychology

Background:

• Enuresis is a common pediatric issue requiring careful assessment.
• Distinguishing between monosymptomatic and non-monosymptomatic enuresis is crucial.
• Identifying and managing concomitant comorbidities is essential for effective treatment.

Purpose of the Study:

• To outline the assessment and management of enuresis in children.
• To emphasize the importance of differentiating enuresis types and comorbidities.
• To guide clinicians in selecting appropriate therapeutic interventions.

Main Methods:

• Patient and family education on enuresis natural history.
• Behavioral guidance and practical management strategies.
• Consideration of enuresis alarms and desmopressin for active intervention.

Main Results:

• Limited evidence supports specific interventions, necessitating shared decision-making.
• Concurrent management of co-occurring factors optimizes outcomes.
• Emerging clinical refinements and combined treatment modalities show promise.

Conclusions:

• A comprehensive approach to enuresis, including type differentiation and comorbidity management, is key.
• Patient and family involvement in treatment selection is vital.
• Further research into refined and combined treatment strategies is ongoing.