Pediatricenuresis : an update

Abstract EN

Objective: The purpose of this review is to update our understanding of enuresis in the light of the recent standardization of terminology of the Childrens International Society.

Methods: A literature search was conducted via medline, using the words enuresis, overactive bladder, and incontinence.

Results: Enuresis is a common micturition disorder in children.

Many children labeled as having enuresis have associated lower urinary tract symptoms.

It is of paramount importance to differentiate enuresis from overactive bladder (OAB).

When nocturnal enuresis is present in isolation without any lower urinary tract symptoms, it is defined as monosymptomatic nocturnal enuresis (MNE).

If it is associated with lower urinary tract symptoms, it is termed nonmonosymptomatic nocturnal enuresis.

Lower urinary tract symptoms consists of storage, voiding, and postmicturition symptoms.

The term bladder instability is replaced by overactive bladder.

When both conditions coexist, treatment is initially directed at overactive bladder symptoms.

Once controlled, the treatment of primary nocturnal enuresis is in order.

Conclusions: Children with enuresis may have more than one diagnoses.

It is important to differentiate primary nocturnal enuresis from overactive bladder since the management is different.