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Evaluation of the enuretic child
1Department of Pediatric Urology, Children's National Medical Center, Washington, D.C. 20010.
Clinical Pediatrics
|July 1, 1993
Summary
Nocturnal enuresis, or bedwetting, is influenced by various factors. A thorough evaluation including medical history and family background is crucial for effective treatment of enuretic children.
Area of Science:
- Pediatrics
- Urology
- Psychology
Background:
- Nocturnal enuresis is a common childhood condition with multifactorial causes.
- Environmental, physical, and psychosocial factors contribute to bedwetting.
- A family history of enuresis is frequently observed in affected children.
Purpose of the Study:
- To outline the essential components of an initial workup for children experiencing nocturnal enuresis.
- To emphasize the importance of a comprehensive evaluation for effective treatment planning.
Main Methods:
- Physical examination.
- Detailed voiding, psychosocial, and family history assessment.
- Urinalysis and urine culture to rule out infections and other disorders.
Main Results:
- Daytime voiding symptoms may indicate underlying voiding dysfunction.
- Family history and socioeconomic factors can be associated with enuresis incidence.
- Physician understanding of child and family attitudes is key.
Conclusions:
- A comprehensive evaluation is essential for tailoring treatment to individual children and families.
- Addressing parental attitudes and providing education are important aspects of management.
- Early and thorough assessment facilitates effective management of nocturnal enuresis.