Nocturnal Enuresis Treatment — RACP Paediatrics MCQ

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EasyNephrologyNocturnal Enuresis TreatmentRACP Paediatrics

An 8-year-old boy has nocturnal enuresis. He wets the bed most nights. He has never achieved sustained dryness at night. Daytime bladder function is normal. What is the first-line treatment?

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Correct answer: E — Enuresis alarm

For monosymptomatic nocturnal enuresis in children ≥7 years, the enuresis alarm is the most effective long-term treatment with the lowest relapse rate. It requires consistent use for 2-3 months. Desmopressin is an alternative for rapid/short-term effect (e.g. sleepovers). Fluid management and behavioural strategies are also important.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Nocturnal Enuresis