[Enuresis and voiding disorders in childhood]

Rev Med Suisse. 2005 Feb 16;1(7):470-4.
[Article in French]


Nocturnal enuresis is a common problem seen by the primary care physician. It is mandatory to distinguish between children having monosymptomatic nocturnal enuresis with normal daytime voiding habits and patients having polysymptomatic bed wetting (associated with urgency, frequency, or other signs of unstable bladder). Investigations and treatment of polysymptomatic enuresis are different than treatment of monosymptomatic nocturnal enuresis. A thorough and thoughtful history of voiding pattern is important to separate urge syndrome from organic causes of enuresis. Management of patients who have urge syndrome include general advices like regular voiding routine, physiotherapy, anticholinergic medication and prevention or treatment of urinary tract infections. If the nocturnal enuresis persists after the control of the voiding dysfunctions, treatment of nocturnal enuresis must be undertaken.

Publication types

  • English Abstract
  • Review

MeSH terms

  • Child
  • Diagnosis, Differential
  • Humans
  • Medical History Taking
  • Physical Examination
  • Urination Disorders / diagnosis*