Brazilian consensus in enuresis–recomendations for clinical practice

Vol. 45 (5): 889-900, September – October, 2019

doi: 10.1590/S1677-5538.IBJU.2019.0080


REVIEW ARTICLE

José Murillo B. Netto 1, Atila Victal Rondon 2, George Rafael Martins de Lima 3, Miguel Zerati Filho 4, Edison Daniel Schneider-Monteiro 5, Carlos Augusto F. Molina 6, Adriano de Almeida Calado 7, Ubirajara Barroso Jr. 8
1 Universidade Federal de Juiz de Fora (UFJF) e Hospital e Maternidade Therezinha de Jesus da Faculdade de Ciências Médicas e da Saúde de Juiz de Fora (HMTJ-SUPREMA), Juiz de Fora, MG, Brasil; 2 Universidade do Estado do Rio de Janeiro (UERJ) e Hospital Federal Cardoso Fontes (HFCF), Rio de Janeiro, RJ, Brasil; 3 Hospital Infantil Albert Sabin, Fortaleza, CE, Brasil; 4 Instituto de Urologia e Nefrologia de São José do Rio Preto (IUN) e Faculdade Regional de Medicina(FAMERP), Hospital de Base, São José do Rio Preto, SP, Brasil; 5 Hospital da Pontifícia Universidade Católica de Campinas (PUC-Campinas), Campinas, SP, Brasil; 6 Hospital das Clinicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (HCFMRP-USP), Ribeirão Preto, SP, Brasil; 7 Faculdade de Medicina da Universidade de Pernambuco (UPE), Recife, PE, Brasil ; 8 Universidade Federal da Bahia (UFBA) e Escola Bahiana de Medicina (BAHIANA), Salvador, BA, Brasil

ABSTRACT

Introduction: Enuresis, defi ned as an intermittent urinary incontinence that occurs dur- ing sleep, is a frequent condition, occurring in about 10% of children at 7 years of age. However, it is frequently neglected by the family and by the primary care provider, leaving many of those children without treatment. Despite of many studies in Enuresis and recent advances in scientifi c and technological knowledge there is still considerable heterogeneity in evaluation methods and therapeutic approaches.

Materials and Methods: The board of Pediatric Urology of the Brazilian Society of Urology joined a group of experts and reviewed all important issues on Enuresis and elaborated a draft of the document. On September 2018 the panel met to review, discuss and write a consensus document.

Results and Discussion: Enuresis is a multifactorial disease that can lead to a diversity of problems for the child and family. Children presenting with Enuresis require careful evaluation and treatment to avoid future psychological and behavioral problems. The panel addressed recommendations on up to date choice of diagnosis evaluation and therapies.

Keywords: Enuresis; Urinary Incontinence; Lower Urinary Tract Symptoms

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