What is included in the physical exam for suspected enuresis?

Updated: Jan 16, 2018
  • Author: Wm Lane M Robson, MA, MD, FRCP, FRCP(Glasg); Chief Editor: Marc Cendron, MD  more...
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A comprehensive physical examination should include the following:

  • Measurement of blood pressure
  • Inspection of external genitalia
  • Palpation in the renal and suprapubic areas
  • Palpation of the abdomen
  • Thorough neurologic examination of the lower extremities, including gait, muscle power, tone, sensation, reflexes, and plantar responses
  • Assessment of the anal “wink”
  • Inspection and palpation of the lumbosacral spine
  • Inspection of the skin in the genital area looking for rashes or lesions that might be caused by constant wetness

Abnormal physical findings are not present in children when enuresis is the sole symptom and are not necessarily present in children with overactive bladder or dysfunctional voiding. Abnormal findings might be present in patients with cystitis, constipation, neurogenic bladder, urethral obstruction, ectopic ureter, attention deficit–hyperactivity disorder (ADHD), or obstructive sleep apnea (OSA).

See Presentation for more detail.

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