Enuresis treatment is recommended from the age of 6.
By Charlotte van Herzeele Enuresis is often considered a benign problem. However, recent research demonstrates that this is far from the truth. Suffering from enuresis implies a major impact on the child and its family: practical, financial and emotional(1). Even more, there is increased comorbidity with psychological/psychiatric disorders(2). Enuresis is not just being wet at night. Children with enuresis suffer from consequences beyond the wetting problem. Treatment is mandatory from the age of 6 years. Enuresis is not a benign disorder, it can result to or aggravate the predisposition for neuropsychological problems and sleep disorders. The sensation of a full bladder overnight stimulates central nervous pathways in the brain, resulting in a more fragmented sleep and associated periodic limb movements during sleep(3). This observation clearly overrules the old idea of a deficient arousal and deep sleep, but gives enough arguments for a fragmented sleep pattern(3, 4). It is shown that treatment of enuresis not only resolves the wetting problem but has beneficial consequences on sleep and daytime functioning(5). A significant decrease in periodic limb movements during sleep is demonstrated. Even when children do not become dry, an anti-diuretic effect of the treatment has positive effects on the child by prolonging...
On this first ever World Bedwetting Day, we may ask ourselves, “What is the best advice to give to parents of a school-age child with bedwetting in regards to his or her quality of sleep?” We know that bedwetting is a widespread disorder among children (15% at the age of 6-7 years of age) and can have adverse effects on the child’s well-being and psychological functioning. We also know that the sleep of bedwetting children is disturbed, and that this is one of the main causes of bedwetting. Sleep disturbance may be exacerbated by parental coping strategies such as waking the child during the night or taking the sleeping child to the toilet to void. In addition, parents think that letting the child sleep without a diaper may be beneficial to “learn to feel the wetness” and then wake up. However, this does not happen, and the children continue to sleep lying in a wet bed. How important is the fact to be able to sleep in a dry bed on the quality of sleep in children? Would wearing nappies (diapers or napkins) allow the child a better night’s sleep? This question was addressed in a study in children aged...
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Practical consensus guidelines for the management of enuresis.
Evaluation and management of enuresis, a common condition, is not a priority in training programs for medical doctors (MDs), despite being a common condition.