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Enuresis in Children.

Jyoti Sharma1

  • 1Pediatric Renal Service, Renal Unit, King Edward Memorial Hospital, Pune, Maharashtra, India. jyotivsharma@gmail.com.

Indian Journal of Pediatrics
|February 18, 2026
PubMed
Summary
This summary is machine-generated.

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.

Keywords:
AlarmAntidiuretic hormoneConstipationDesmopressinFrequency-volume chartPolyuria

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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.