Paediatrics > NOCTURNAL ENURESIS > Flashcards

Flashcards in NOCTURNAL ENURESIS Deck (6):

What is the definition of enuresis?

Enuresis may be defined as the 'involuntary discharge of urine by day or night or both, in a child aged 5 years or older, in the absence of congenital or acquired defects of the nervous system or urinary tract'.


At what age do most children achieve day and night time continence?

By 3 or 4 years of age.


What is the difference between primary and secondary nocturnal enuresis?

Primary - the child has never achieved continence

Secondary - the child has been dry for at least 6 months before


According to NICE guidelines, what is first line in the management of nocturnal enuresis?

Reward systems - eg Star charts

NICE recommend these 'should be given for agreed behaviour rather than dry nights' e.g. Using the toilet to pass urine before sleep


If a 5 year old child is struggling with nocturnal enuresis despite a trial of a star chart, what is the next step in the management according to NICE?

Enuresis alarm

This is as long as the child in under 7 years old.


An 8 year old child is struggling with nocturnal enuresis. What is the first line management according to NICE guidelines?

Desmopressin may be used first-line for children over the ago 7 years, particularly if short-term control is needed or an enuresis alarm has been ineffective/is not acceptable to the family.