Effective management of daytime wetting.
Voiding dysfunction is important in the genesis of wetting and urinary tract infections but cure is not often achieved with the brief interventions possible from a busy outpatient clinic. Our aim was to establish a planned programme of care based on a physiological and psychological assessment. We studied 100 children: 70 per cent had daytime enuresis; 11 per cent nocturnal enuresis alone and 19 per cent had recurrent urinary tract infections. Following assessment we found that 48 per cent had a significant post micturition residue. After six months of treatment 79 per cent were either completely dry or had only an occasional accident. Treatment for this condition is usually considered to be very time consuming, but by using a non-invasive bladder assessment and biofeedback methods which reinforce the child's and family's understanding of bladder function, success can be achieved for some of the more difficult wetters.
Rhodes
C
C
Nottingham City Hospital.
D001676:Biofeedback, Psychology; D002648:Child; D006801:Humans; D010371:Pediatric Nursing / Q000379:methods*; D014039:Toilet Training; D014549:Urinary Incontinence / Q000451:nursing* / Q000628:therapy*