Evaluation and management of enuresis in the general paediatric setting.

Assessing enuresis involves distinguishing monosymptomatic from non-monosymptomatic for this common paediatric problem, and identifying concomitant comorbidities. Addressing co-occurring factors concurrently ensures the best opportunity for a satisfactory outcome. Treatment begins with patient and family education on the natural history of enuresis and practical behavioural guidance. Evidence to support particular interventions is limited, and children and families should be involved when choosing appropriate therapy. Enuresis alarms and desmopressin are treatment options when more active intervention is desired. Clinical refinements and combined treatment modalities are emerging.

对于遗尿这一常见的儿科问题，评估包括区分单症状性和非单症状性，并识别伴随的共病。同时处理共现因素可确保获得满意结果的最佳机会。治疗首先要对患者及家属进行遗尿自然病程的教育以及实用的行为指导。支持特定干预措施的证据有限，在选择合适的治疗方法时应让儿童及其家属参与。当需要更积极的干预时，遗尿报警器和去氨加压素是治疗选择。临床改进措施以及联合治疗方式正在不断涌现。