Curriculum · Pediatric / Nutrition & Growth / EPI / Routine Child Examination
Toilet training and bladder control
What it is
Enuresis is divided by whether continence was ever established, by timing, and by the presence of lower urinary tract symptoms. Primary enuresis, 80 percent of cases, is enuresis in a child who has never established urinary continence for more than six months. Secondary enuresis, 20 percent of cases, is resumption of enuresis after at least six months of urinary continence. Nocturnal enuresis is enuresis that occurs during sleep, while daytime wetting is urinary incontinence that occurs while the child is awake. Monosymptomatic, or uncomplicated, enuresis is enuresis without lower urinary tract symptoms other than nocturia and with no history of bladder dysfunction, and nonmonosymptomatic enuresis is enuresis with lower urinary tract symptoms.
Nocturnal enuresis also sits in the list of the types of incontinence, beside stress incontinence, urge, mixed, overflow and continuous incontinence. It is the type that occurs during sleep, and what is put against it is OAB and nocturnal diuresis. Urge incontinence is involuntary loss with urgency, from OAB, aging or infection; mixed is stress with urge; overflow is urinary retention, as with diabetes or a weak bladder; and continuous incontinence comes for example from a fistula.