Primary nocturnal enuresis. This is the recurrent involuntary passage of urine during sleep by a child aged 5 years or older, who has never achieved consistent night-time dryness. This may further be subdivided into: Primary nocturnal enuresis without daytime symptoms: children who have enuresis only at night. Primary nocturnal enuresis with daytime symptoms: those who also have daytime symptom...

Primary nocturnal enuresis. This is the recurrent involuntary passage of urine during sleep by a child aged 5 years or older, who has never achieved consistent night-time dryness. This may further be subdivided into: Primary nocturnal enuresis without daytime symptoms: children who have enuresis only at night. Primary nocturnal enuresis with daytime symptoms: those who also have daytime symptom...

Goals & Objectives: Recognize and manage common developmental and behavioral conditions involving enuresis which generally do not require referral. • Describe diagnostic criteria, including differentiation of primary vs. secondary, and diurnal vs. nocturnal. • Identify conditions in the differential diagnosis of, as well as risk factors for, nocturnal enuresis • Perform assessment appropriate t...

OBJECTIVE To review the clinical classification of childhood diurnal enuresis, to describe the evaluation process, and to discuss principles of management. QUALITY OF EVIDENCE An extensive literature review was performed with a MEDLINE search. Articles were selected according to date of publication, clinical relevance, and availability. Recent articles, cohort studies of at least 50 patients,...

Studies of childhood nocturnal enuresis have traditionally used various criteria both to select children for treatment and measure its outcome. To make comparison possible among studies an agreed set of working definitions are needed.' The figure gives a flow chart by which the terms used in this paper are placed in context. Inclusion criteria The following characteristics of enuretics being st...

A case of secondary diurnal enuresis (SDE) after a car accident was treated with hypnosis by means of the Hypnotic Trauma Narrative, an instrument created by the authors for use with children who have been exposed to traumatic events and develop either classic symptoms of posttraumatic stress disorder or manifest other psychosomatic symptoms. An ABAB time-series design with multiple replication...

OBJECTIVE Enuresis, which is frequently diagnosed amongst schoolchildren, is an important psychosocial problem for both parents and children. In the present study we aimed to determine the prevalence and associated factors of enuresis in Turkish children and to identify common methods for its management. MATERIALS AND METHODS A cross sectional epidemiological study was performed among primary...

OBJECTIVES To estimate the predictive value of diurnal voiding symptoms for the diagnosis of bladder dysfunction in enuretic children and teenagers receiving care at Fernandes Figueira Institute (Rio de Janeiro, Brazil). METHODS From June 1999 to May 2002, 91 patients (aged 5-17 years) with enuresis, both monosymptomatic and polysymptomatic, were assessed based on medical history, voiding cha...

Sodium valproate (SV) is effective and well tolerated for the treatment of epilepsy and mood disorders. There are several cases of SV-induced enuresis noted in epileptic patients. No alternative medication has been suggested to manage this problem. We present the first case of a pediatric bipolar patient who developed diurnal and nocturnal enuresis during SV therapy. Clinicians should be aware ...

On the basis of some research evidence and consensus, up to one-third of patients with enuresis will have daytime urinary symptoms indicative of lower urinary tract (LUT) dysfunction. (8)(9) On the basis of international consensus, children with enuresis and LUT dysfunction are correctly identified as having nonmonosymptomatic enuresis (NMSE) (formerly termed diurnal enuresis). (1)(2) On the ba...