Childhood nocturnal enuresis: Assessment and management in primary care

Nocturnal enuresis is a distressing and widespread problem, and upsetting for children and for their families. Despite a wealth of guidance about how to diagnose and manage the condition, it is still not widely understood by healthcare professionals. Here consultant paediatrician Dr Anne Wright discusses the challenges faced in primary care. Author: Dr Anne Wright Consultant Paediatrician with a special interest in childhood bladder dysfunction and incontinence, Evelina London Children’s Hospital, Guy’s and St Thomas’ NHS Hospital Trust, London CASE STUDY Ten-year-old Ben presents with his mother complaining of nightly bedwetting since toilet training. They have tried fluid restriction before