enuresis

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Related to enuretics: paradoxical incontinence

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

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

en′u·ret′ic (-rĕt′ĭk) adj.

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.

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]
References in periodicals archive ?
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.
A recent survey indicated that physicians recommend this treatment for 80% of enuretic cases, compared to only 5% in prior studies (Vogel, Young, & Primack, 1996).
A pilot study was conducted on 20 of enuretic patients in Rusaifah Family Medicine Postgraduate Training Center to test the variables and methodology.
Of 150 enuretic children, the degree of improvement was 99.3% in the first month, 36% in the first 2 months, and 9% in the first 3 months.