Enuresis Flashcards
1
Q
Enuresis treatment
A
History:
- Urinary history - urgency, frequency, bowels
- Toilet training
- Incontinence episodes day/night
- ?Ever previously dry
- Impact on child/family
- Fluid intake / caffeine
- Environment at home
Investigations: consider organic causes
- Urine MCS ?UTI
- Post void residual
- MCUG
- Urodynamics
- Renal tract USS
Management:
- Bladder diary
- Non-pharmacological: Pad + bell alarm, timed voiding
- Medication: Oxybutynin, desmopressin
- Referral renal/urology
