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Clinical Management Tool

This Nocturnal Enuresis diagnosis and treatment CMT has been developed by the Working Group of Nocturnal Enuresis Belgium, and kindly shared to be published in the Bedwetting Resource Centre, with the aim to assist the practitioners and visitors of the Bedwetting Resource Centre.

With thanks to the Working Group of Nocturnal Enuresis Belgium (websites in Dutch and French)    

Guy Bogaert


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    CMT diagnosis:

    The scorecard is designed to distinguish monosymptomatic from non-monosymptomatic nocturnal enuresis. It can be filled out before the appointment, in the waiting area or during the clinic visit.  This should not take more than 5 minutes.

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    CMT treatment:

    If the patient is diagnosed with monosymptomatic nocturnal enuresis, the doctor can follow the guidelines of “empathic medicine”: i.e. explain what the problems is and give simple suggestions regarding food as well as drinking and voiding habits; besides, the family should fill out a voiding, drinking and nighttime calendar. Explain the possible therapies such as the alarm treatment and the desmopressin treatment. The family, i.e. the child AND the parents, should decide together what they are most motivated for and what they WANT and CAN do. Explain that switching to the other treatment modality is possible at any time. It is known that motivation is a very important factor for the success of the treatment, so if the child and the family can choose, they will.

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The journal articles, videos and statements published on the resource centre have been selected independently and without influence from Elsevier, European Urology Editors or the sponsor and do not necessarily reflect their opinions or views.

Consensus Guidelines

Practical consensus guidelines for the management of enuresis. 
Evaluation and management of enuresis, a common condition, is not a priority in training programs for medical doctors (MDs), despite being a common condition.