Among children 7½ years old with enuresis, 31.6% will have evidence of concomitant lower urinary tract (LUT) dysfunction. This nonmonosymptomatic enuresis represents a separate clinical entity from monosymptomatic enuresis and requires addressing the LUT dysfunction before enuresis treatment to avoid high treatment failure rates.

ButlerRJ, GoldingJ, NorthstoneK. Nocturnal enuresis at 7.5 years old: prevalence and analysis of clinical signs. BJU Int. 2005;96(3):404410.

After reading this review, the practitioner should be able to:

Parental concerns about urinary continence in children are commonly cited worries at primary pediatric appointments. A basic understanding of the classification and treatment of urinary incontinence and enuresis in otherwise neurologically normal children is thus essential for the practicing pediatrician. Many times, first-line behavioral modification techniques for encouraging proper bladder and bowel habits can be successful in primarily treating...

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