What is included in the initial management of enuresis?

Updated: Mar 26, 2020
  • Author: Wm Lane M Robson, MA, MD, FRCP, FRCP(Glasg); Chief Editor: Marc Cendron, MD  more...
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Answer

Initial management includes the following:

  • Caring and understanding parental attitude, acknowledging that the child has no control over the wetting
  • Behavioral modification with positive reinforcement
  • Explanation of the probable cause of the enuresis
  • Keen attention to establishing and maintaining a normal daytime voiding pattern, normal bowel pattern, and normal hydration

If following this approach for up to 3 months does not result in dryness, either alarm therapy or pharmacologic therapy should be considered.


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