secondary enuresis


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secondary enuresis

Enuresis in a child with no history of incontinence for 6 months or more.
See also: enuresis
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Because enuresis can be a symptom of or reaction to sexual abuse, especially in children with secondary enuresis, counselors "must be alert to the possibility of previous or ongoing inappropriate sexual contact" (Fritz et al., 2004, p.
When a child who has learned to control its sphincter later starts bed-wetting again, this "secondary enuresis" reflects an emotional problem, not a neurological one.
Bedwetting is then diagnosed as primary enuresis if the child is over 5 years and has never stopped bedwetting, and is referred to as secondary enuresis if the child had stopped for at least 6 months and then started again.
In secondary enuresis, wetting occurs only occasionally, after a dry spell of six months or more.
"Enuresis" can be defined as the "involuntary discharge of urine by day or night (or both), in a child aged five years or older, in the absence of congenital or acquired defects of the nervous system or urinary tract." If a child has never been dry for a significant period, he or she is considered to have "primary enuresis." "Secondary enuresis" refers to loss of bladder control in a child who is at least four years old, after he or she has been dry for a significant period.
Secondary enuresis noctuma was present in 2 children (a 6.7-year-old boy and an 8 -year-old girl).