enuresis

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enuresis

 [en″u-re´sis]
a type of urinary incontinence, usually referring to involuntary discharge of urine during sleep at night (nocturnal enuresis or bed-wetting), such as in a child beyond the age when bladder control should have been achieved. adj., adj enuret´ic. It can occur as a result of such organic conditions as structural defects or infections of the urinary tract, neurologic deficit and resultant loss of control, nocturnal epilepsy, diabetes mellitus and diabetes insipidus, which increase urine flow, and renal disorders that impair the kidney's ability to concentrate urine. If no organic basis can be found for bed-wetting, psychogenic factors are considered.
Patient Care. Efforts to manage enuresis require patience on the part of parents and understanding that the child may be embarrassed by the condition and its effects. Reprimands and punishment are not appropriate and only make matters worse. The child also needs to be encouraged to participate in planning and implementing the program of care and to have hope and confidence that the problem can be overcome.

Among the techniques used to manage nocturnal enuresis are restricting fluids after the evening meal, bladder training to help enlarge the capacity of the bladder, and fully awakening the child once or twice during the night to walk to the bathroom and urinate. Electronic devices that establish a conditioned reflex response to waken the child the moment urination starts are successful in some cases. An anticholinergic drug may be prescribed as an adjunct to any of these techniques. desmopressin acetate nasal spray (DDAVP) may also be used.

en·u·re·sis

(en'yū-rē'sis), Do not confuse this word with emuresis.
Involuntary discharge or leakage of urine.
[G. en-oureō, to urinate in]

enuresis

/en·ure·sis/ (en″ūr-e´sis) urinary incontinence.

enuresis

(ĕn′yə-rē′sĭs)
n.
The involuntary discharge of urine; urinary incontinence.

en′u·ret′ic (-rĕt′ĭk) adj.

enuresis

[en′yoo͡rē′sis]
Etymology: Gk, enourein, to urinate
incontinence of urine, especially nocturnal bed-wetting.

enuresis

Psychiatry Nocturnal and daytime incontinence of urine Vox populi Bed-wetting. See Elimination disorder.

en·u·re·sis

(en-yūr-ē'sis)
Urinary incontinence; particularly nocturnal (i.e., bed wetting).
[G. en-oureō, to urinate in]

enuresis

Bedwetting. The involuntary passage of urine, especially during sleep.

enuresis,

n inability to hold one's urine.

en·u·re·sis

(en-yūr-ē'sis) Do not confuse this word with emuresis.
Involuntary discharge or leakage of urine.
[G. en-oureō, to urinate in]

enuresis (enūrē´sis),

n involuntary urination (e.g., during general anesthesia, at night).

enuresis

References in periodicals archive ?
Since some children who have sleepdisordered breathing have been shown to also be enuretic at night, enuresis and snoring may be in and of itself a reason for a polysomnographic evaluation.
Another issue pertains to whether enuretic children are more difficult to awaken than their nonenuretic peers.
Rather, the enuretic child should be assigned reasonable household responsibilities associated with their accidents.
Once withdrawn, there is a high rate of relapse (Friman & Jones, 1998), so the primary therapeutic gain from medication appears to be a respite from wetting episodes that may allow the enuretic child and family a temporary semblance of normality.
It uses an enuretic alarm system and has a cure rate of 65% to 75%, the highest cure rate of any available approach to enuresis; it also has a relatively low relapse rate of 20% to 30%.
The disadvantage of enuretic alarms is that they are time-intensive and require a high level of motivation and cooperation from the child and the family for at least 3 weeks and for as long as 4 to 6 months.
23,24) performed electroencephalogram (EEG) and cystometry during sleep in enuretic children and found detrusor contraction which resulted in enuresis in 32% of these children.
Therefore, epidemiological studies have shown that enuretic children are "deep sleepers" as many families have also emphasized.