Once a decision has been made that the bedwetting may not spontaneously resolve, children need to take an active role in treating enuresis.A child unwilling to invest time and energy, regardless of parental concern, is unlikely to respond to therapy.
We generally institute treatment at 7–8 years of age.
Behavioral:
Behavioral therapy for enuresis is safe, effective, and often used in conjunction with medical therapy. Traditional therapies include regulating fluid intake, bladder training, and an enuresis alarm. Recently, developments in motivational therapy and hypnotherapy hold promise in the
treatment of nocturnal enuresis.
Fluid intake:
Although fluid restriction is often recommended, it has not been shown to be effective, and could place the child at risk for dehydration. More effective is a redistribution of fluid intake to decrease nocturnal polyuria.
Bladder training:
Retention-control training strives to increase the functional Continue reading »
