Pediatric urologist, levine childrens hospital, charlotte, nc after completing this article, readers should be able to. Nocturnal enuresis in india indian journal of nephrology. Nocturnal enuresis often causes considerable distress or functional impairment to patient and their parents. Click here to view optimized website for mobile devices journal is. Nocturnal enuresis is a common problem that can be troubling for children and their. No evidence has been found related to ethnic differences. The terms monosymptomatic and nonmonosymptomatic are based entirely on history and verified by voiding diaries, i. Nocturnal enuresis, or bedwetting, is the most common cause of urinary incontinence in children. In nonmonosymptomatic nocturnal enuresis, daytime symptoms have to be treated first before addressing the nighttime wetting. Pdf nocturnal enuresis among primary school children. A large epidemiological study showed that nocturnal enuresis is more common in males at all ages, and is more likely to persist in those with frequent wetting. Management of nocturnal enuresis myths and facts dois.
In recent years, the understanding of nocturnal enuresis has grown among paediatricians and paediatric nurses. Nocturnal enuresis affects approximately 5 to 7 million children in the united states, making it the most common pediatric urologic complaint encountered by primary care physicians. Unauthorized reproduction of this article is prohibited. Nocturnal enuresis ne is involuntary urination that occurs at night during sleep without any inherent suggestion of frequency of bedwetting or pathophysiology. Describe nonpharmacologic and pharmacologic treatments for nocturnal enuresis. Discuss the pathophysiology and causes of nocturnal enuresis. Third, nocturnal detrusor overactivity is in itself pathogenetically heterogeneous, and could be linked to constipation. Nocturnal polyuria can be treated using the vasopressin analogue desmopressinwhich reduces the amount of urine. Alexandria journal of pediatrics, volume 19, number 2, july 2005. Nocturnal enuresis or bed wetting is a benign condition, yet needs treatment to relieve the child and parents of the accompanying anxiety and the stigma attached. Identify appropriate agerelated strategies for management of nocturnal enuresis. Nocturnal enuresis is defined as nighttime bedwetting in children five years of age or older. Primary and secondary enuresis european urology focus.