Nocturnal enuresis (bedwetting) is a common condition that can have a profound impact on affected children and their families.1-4 It is often misconceived as being a benign condition that happens because affected children drink too much in the evening and sleep very deeply. In the past it was generally accepted that psychological problems were at its root and that children would eventually outgrow the condition.5... Continue Reading
The Bedwetting Knowledge Centre aims to raise awareness of this disease by providing essential information for correct diagnosis and screening, to emphasise the importance of treatment and to highlight the psychological impact this disease has. The epidemiology section shows that gender plays a role, a decline in prevalence occurs with increasing age and severe nocturnal enuresis may continue into adulthood.
The 'Types of nocturnal enuresis' section addresses primary, secondary and sub-groups of nocturnal enuresis and looks at why this disease occurs. Nocturnal enuresis is distressing for children and impacts on their self-esteem and self-image, the impact section discusses this area.
The 2012 practical consensus guidelines for the management of enuresis help determine the most appropriate course of care and this is discussed in the assessment section of this site. The treatment and referral sections address the most appropriate treatment regimens and discusses why these may fail, and when to refer to a specialist.
Site reviewed by
Søren Rittig, MD, DMSc
Søren Rittig graduated from Aarhus University Medical School in 1987 and passed the ECFMG (Educational Committee for Foreign Medical Graduates, U.S.A.) exam in 1990. He has completed a Research Fellowship at Aarhus University, Clinical Institute and Northwestern University Medical School, Dept. of Medicine, Chicago, USA. He became a specialist in Paediatrics in 2002 and has been consultant in Paediatric Nephrology at Aarhus University Hospital, Aarhus, Denmark since 2004.
A short Q and A session with Professor Johan Vande Walle, surrounding nocturnal enuresis.
- Spee-van der Wekke J, Hirasing RA, Meulmeester JF et al. Childhood nocturnal enuresis in The Netherlands. J Urology 1998;51:1022-1026.
- Yeung CK et al. Differences in characteristics of nocturnal enuresis between children and adolescents: a critical appraisal from a large epidemiological study. BJU Int 2006;97:1069-1073.
- Butler RJ, Heron J. The prevalence of infrequent bedwetting and nocturnal enuresis in childhood. A large British cohort. Scand J Urol Nephrol 2008;42:257-264.
- Butler RJ, Golding J, Heron J; ALSPAC Study Team. Nocturnal enuresis: a survey of parental coping strategies at 7 1/2 years. Child Care Health Dev 2005;31:659-667.
- Nevéus T. Nocturnal enuresis- Theoretic background and practical guidelines. Educational review. Pediatr Nephrol 2011:26:1207-1214.