Nocturnal enuresis

Nocturnal enuresis is one of the most common urinary problems in children and is observed in about 15-20 percent of children 5 years of age. Nocturnal enuresis resolves at a rate of 15% per year, so 99% of children are dry by the age of fifteen years. Enuresis can be defined as repetative bed wetting while sleeping. Enuresis in children without any other lower urinary tract (LUT) symptoms -excluding nocturia- and without a history of bladder dysfunction is defined as monosymptomatic enuresis. Most of the enuretic children belong to this group. A bladder dysfunction must be kept in mind in an enuretic child having day time symptoms. Behavioral treatment approaches, alarm treatment and pharmacological treatment are the most frequently used approaches for treatment. In all treatment modalities and especially in alarm treatment, the motivation and active involvement of the family and the child are very important. (Turk Arch Ped 2012; 47: 78-83)