Best Practice Management of Bedwetting​

(Last reviewed by the team in February 2017).


Target Audience

The educational design and content of this activity targets Urologists and Paediatricians and those working in primary care or general practice with an interest in the management of nocturnal enuresis.

Case Studies in Urology: Best Practice Management of Bedwetting

Case study 1 The Bedwetting Consultation Dr Michał Maternik & Dr Mark MacKenzie
Case study 2 Treatment Options in Bedwetting Dr Michał Maternik & Dr Mark MacKenzie
Case study 3 A More Complex Patient Dr Michał Maternik & Dr Mark MacKenzie


Learning Objectives

On completion of this programme, learners will be able to:

  • Describe the prevalence and impact of bedwetting
  • State how bedwetting should be investigated to ensure an accurate diagnosis, including differentiating between primary versus secondary and monosymptomatic versus non-monosymptomatic nocturnal enuresis (MNE)
  • List the options available for the management of bedwetting, including behavioural advice, alarms and pharmacotherapy, describing the advantages and disadvantages of each option
  • Describe the factors that determine choice of therapy for individual patients, including the use of combined therapies, and how rational decisions on optimal treatment and dosing can be achieved
  • Explain how treatments for bedwetting should be monitored and assessed, including success criteria and appropriate discontinuation of therapy
  • Define situations when referral to a specialist is necessary, both on first diagnosis and in situations where initial treatments have not been successful


The Faculty

Michał Maternik

Dr Michał Maternik

Department of Pediatrics, Nephrology, & Hypertension. Medical University of Gdansk, Gdansk, Poland

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Mark MacKenzie

Dr Mark MacKenzie

GP Partner St Lukes Primary Care Centre, Timken Way, South Duston, Northampton, UK

View Biography