Managing nocturnal enuresis

Content developed by MIMS Learning http://www.mimslearning.co.uk/

INTRODUCTION

This module outlines the prevalence of nocturnal enuresis and the factors that contribute to its development. Key learning points for general practice nurses include how to investigate enuresis, and useful interventions in primary care.

LEARNING OBJECTIVES

After completing this module, you should be better able to:

• Distinguish between primary monosymptomatic nocturnal enuresis (PMNE) and nocturnal enuresis with daytime symptoms

• Identify the aetiology of bedwetting

• Investigate PMNE

• Estimate bladder capacity for children up to the age of 11 years

• Manage enuresis based on the underlying aetiology

• Assess psychological problems associated with enuresis

• Treat with antidiuretics or an anticholinergic drug where indicated

• Consider indications for referral

AUTHOR

Mr Prasad Godbole, Consultant paediatric urologist, Sheffield Children’s NHS Foundation Trust and BMI Thornbury Hospital, Sheffield