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The South African guidelines on enuresis: 2024 update.

A Adam1, A Badenhorst2, F Claassen3

  • 1Division of Urology, Department of Surgery, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; Department of Urology, Charlotte Maxeke Johannesburg Academic Hospital, Johannesburg, South Africa; Wits Donald Gordon Medical Centre, Johannesburg, South Africa.

South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
|November 8, 2024
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Summary

This updated guideline offers South African healthcare providers evidence-based recommendations for treating childhood enuresis (bedwetting). It covers diverse therapeutic options, including behavioral, pharmaceutical, and alarm therapies, to manage this common condition effectively.

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Area of Science:

  • Pediatric Nephrology
  • Urology
  • Clinical Guideline Development

Background:

  • Enuresis, or nocturnal enuresis, is urinary incontinence during sleep in children aged 5+ without neurological disorders.
  • This guideline represents an update to the 2017 version, reflecting current best practices.

Purpose of the Study:

  • To provide updated, evidence-based recommendations for managing enuresis in South Africa.
  • To outline a comprehensive range of therapeutic options for childhood enuresis.

Main Methods:

  • Consensus-based guideline development by South African key opinion leaders and international experts.
  • Review and synthesis of available therapeutic options for enuresis.

Main Results:

  • Recommendations cover behavioral modification, urotherapy, pharmaceutical therapy, alarm therapy, alternative therapies, neuromodulation, psychological support, and biofeedback.
  • The guideline emphasizes the utility of voiding diaries, additional investigations, and mobile applications in enuresis management.
  • Standardized definitions are provided for clarity in diagnosis and treatment.

Conclusions:

  • The updated guideline offers a comprehensive resource for clinicians managing enuresis in South Africa.
  • It incorporates a broad spectrum of treatments, from conventional to novel approaches, including digital health tools.