A 7-year-old boy wets the bed most nights but is dry during the day. There are no urinary symptoms, constipation or psychosocial concerns. Examination...

Question

A 7-year-old boy wets the bed most nights but is dry during the day. There are no urinary symptoms, constipation or psychosocial concerns. Examination and urinalysis are normal. What is the most appropriate initial management?

Accepted Answer

Reassure parents and institute behavioural strategies including fluid restriction before bed and a bedwetting alarm

Answer

Start desmopressin at night

Answer

Commence a tricyclic antidepressant at night

Answer

Order renal ultrasound and voiding cystourethrogram

Answer

Refer urgently to paediatric nephrology

au-amc MCQ (SBA): Primary nocturnal enuresis

A 7-year-old boy wets the bed most nights but is dry during the day. There are no urinary symptoms, constipation or psychosocial concerns. Examination and urinalysis are normal. What is the most appropriate initial management?