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  • Enuresis- What to Know...

Enuresis- What to Know and How to Treat: IAP Guidelines

Written By : Medical Dialogues Editorial Team |Medically Reviewed By : Dr. Kamal Kant Kohli Published On 2022-08-22T12:30:48+05:30  |  Updated On 22 Aug 2022 2:32 PM IST
Enuresis- What to Know and How to Treat: IAP Guidelines
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The word "enuresis" has become synonymous with bedwetting. There can be nothing further from the truth and we need to erase this kind of thinking. Enuresis is defined as involuntary passage of urine beyond the age at which bladder control is deemed to be achieved.

The Indian Academy of Pediatrics (IAP) has released Standard Treatment Guidelines 2022 for Enuresis. The lead author for these guidelines on Enuresis is Dr Pankaj Deshpande along with co-author Dr Fagun Shah and Dr Rajiv Sinha. The guidelines come Under the Auspices of the IAP Action Plan 2022, and the members of the IAP Standard Treatment Guidelines Committee include Chairperson Remesh Kumar R, IAP Coordinator Vineet Saxena, National Coordinators SS Kamath, Vinod H Ratageri, Member Secretaries Krishna Mohan R, Vishnu Mohan PT and Members Santanu Deb, Surender Singh Bisht, Prashant Kariya, Narmada Ashok, Pawan Kalyan.

Following are the major recommendations of guidelines:

Mainly can be divided as:

Daytime enuresis: Often missed and the one that every pediatrician should be aware of to be able to diagnose and treat appropriately. Most children in this group get treated for the "nonexistent" urinary tract infections (UTIs)!

Nocturnal enuresis: The enuresis occurs predominantly at night when the child is fast asleep (including wetting when asleep in the day). Enuresis can be clinically considered as follows:

Predominantly daytime (overactive bladder):

Both daytime and nocturnal (posterior urethral valves, tubular problems, and neurogenic bladder) Predominantly nocturnal (primary nocturnal enuresis).Different causes of enuresis and their management is given in Table 1.

Conclusion:

There is varied etiology for enuresis. After identifying whether daytime or nocturnal, treatment should be directed at the cause of the enuresis.

Treatment:

Reference:

Arda E, Cakiroglu B, Thomas DT. Primary nocturnal enuresis: A review. Nephro Urol Mon. Further Reading 2016;8(4):e35809.

Deshpande AV, Craig JC, Smith GH, Caldwell PH. Management of daytime urinary incontinence and lower urinary tract symptoms in children. J Paediatr Child Health. 2012;48(2):E44-52.

Mahadik P, Vaddi SP, Godala CM, Sambar V, Kulkarni S, Gundala R. Posterior urethral valve: Delayed presentation in adolescence. Int Neurourol J. 2012;16(3):149-52.

Nieuwhof-Leppink A, Schroeder RP, van de Putte EM, Jong TP, Schappin R. Daytime urinary incontinence in children and adolescents. Lancet Child Adolesc Health. 2019;3(7):492-501. ; Ramsay S, Bolduc S. Overactive bladder in children. Can Urol Assoc J. 2017;11(1-2):S74-9.

The guidelines can be accessed on the official site of IAP :https ://iapindia.org/standard-treatment-guidelines/

IAP guidelinesIndian Academy of Pediatricsenuresisbedwettingurinebladder
Source : Indian Academy of Pediatrics,IAP
Medical Dialogues Editorial Team
Medical Dialogues Editorial Team

    Medical Dialogues consists of a team of passionate medical/scientific writers, led by doctors and healthcare researchers. Our team efforts to bring you updated and timely news about the important happenings of the medical and healthcare sector. Our editorial team can be reached at editorial@medicaldialogues.in.

    Dr. Kamal Kant Kohli
    Dr. Kamal Kant Kohli

    Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751

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