The management of nocturnal enuresis in children

Introduction : Nocturnal enuresis is more prevalent in the male gender. Studies such as that by Butler & McKenna (2002) show how nocturnal enuresis is hereditary, with approximately 50% of the children affected if one parent has suffered from it. The main cause for nocturnal enuresis can be drinking late in the evening or not passing urine before going to sleep, resulting in excessive urine volume. A detailed history needs to be taken, eating and drinking habits should also be assessed, and any drinks or food that can increase the chances of bedwetting should be removed or reduced. Management: Management has to be adapted to the child and his/her family requirements. Prescribing the right medication and ensuring compliance is important but is only part of the management plan. Lifestyle changes should be advised. A very simple bedwetting vibrating alarm can be considered. If symptoms persist, pharmacological treatment should be prescribed together with the bedwetting alarm. Conclusion: Nocturnal enuresis is a common condition in a young child, however it requires a careful assessment and management in cooperation with the child’s parent or carer. Physicians need to be aware of when the child needs to be referred.