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Enuresis in Children
1Pediatric Renal Service, Renal Unit, King Edward Memorial Hospital, Pune, Maharashtra, India. jyotivsharma@gmail.com.
Indian Journal of Pediatrics
|February 18, 2026
Summary
Bedwetting, or enuresis, affects children over five and impacts quality of life. Treatment varies by type, including alarms, medication, and urotherapy for primary or secondary enuresis.
Area of Science:
- Pediatrics
- Urology
- Sleep Medicine
Background:
- Enuresis (bedwetting) is common in children over five, causing significant distress.
- Classified as primary/secondary and monosymptomatic (MNE)/non-monosymptomatic (NMNE) based on symptoms.
- Requires medical evaluation to rule out underlying causes and identify comorbidities.
Purpose of the Study:
- To outline the diagnostic approach for enuresis.
- To detail treatment strategies for different enuresis phenotypes.
- To emphasize the importance of managing comorbidities.
Main Methods:
- Clinical assessment including ruling out pathological causes.
- Phenotyping enuresis as MNE or NMNE.
- Utilizing frequency-volume charts and identifying comorbidities like sleep disorders or constipation.
Main Results:
- MNE treatment includes alarms, desmopressin, and potentially other agents.
- NMNE management targets lower urinary tract symptoms and comorbidities.
- Therapy-resistant enuresis requires adherence confirmation and exploration of alternatives.
Conclusions:
- Comprehensive assessment is crucial for effective enuresis management.
- Tailored treatment based on phenotype and comorbidities improves outcomes.
- Addressing psychological impact and exploring alternative therapies are vital.
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