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Tips for managing treatment‐resistant enuresis
Author(s) -
Caldwell Patrina HY
Publication year - 2018
Publication title -
journal of paediatrics and child health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.631
H-Index - 76
eISSN - 1440-1754
pISSN - 1034-4810
DOI - 10.1111/jpc.14158
Subject(s) - enuresis , medicine , psychosocial , constipation , intensive care medicine , quality of life (healthcare) , resistance (ecology) , multidisciplinary approach , urinary system , pediatrics , psychiatry , nursing , surgery , ecology , social science , sociology , biology
Enuresis (bedwetting) is common in school‐aged children and can impact health, psychosocial well‐being and quality of life. Although effective treatment is available, treatment resistance is encountered in about 50%. This paper discusses the management of treatment‐resistant enuresis from a multidisciplinary perspective. Causes of treatment resistance include lower urinary tract problems, constipation, incorrect alarm training techniques, sleep disorders including sleep apnoea and psychological comorbidities. Practical suggestions to address treatment resistance are offered utilising expertise from clinicians from different disciplines.