Childhood enuresis

Bedwetting occurs across all cultures and throughout childhood but is abnormal after 5 years of age with little spontaneous resolution after 10 years of age. Bedwetting nightly at any age is uncommon and only occurred in 1% of seven and a half year olds in a large British population study. The underlying pathophysiology is a mismatch between the amount of urine produced during the night, the bladder capacity and the inability of the child to wake to the need to void. Evidence-based assessment and management are directed at these causes in order to maximize treatment success. This is important for the child/young person and their family in order to improve quality of life.