GuidelinesPrimary Care STG
Enuresis
Urology
F98.0
DESCRIPTION
- Enuresis is bedwetting that occurs in children >5 years of age.
- It is a benign condition which mostly resolves spontaneously.
- It is important, however, to differentiate between nocturnal enuresis and daytime wetting with associated bladder dysfunction.
- Secondary causes of enuresis include:
- Diabetes mellitus
- Urinary tract infection
- Physical or emotional trauma
Note:
- Clinical evaluation should attempt to exclude the above conditions.
- Urine examination should be done on all patients.
GENERAL MEASURES
- Motivate, counsel and reassure child and parents.
- Advise against punishment and scolding.
- Spread fluid intake throughout the day.
- Diapers are not advised, as this will lower the child’s self-esteem.
REFERRAL
- Suspected underlying systemic illness or chronic kidney disease.
- Persistent enuresis in a child.
- Diurnal enuresis.
Standard Treatment Guidelines and Essential Medicines List for South Africa, Primary Healthcare, 2020-2024_Version 1.0_17 October 2024
Chapter 8: Kidney and Urological Disorders_8.9 Enuresis