Uitwerking Richtsnoer 'Enuresis nocturna' voor kinderen met hardnekkige klachten

- To achieve dryness in children who suffer from persistent bedwetting, it is important to find out which factors play a role in their bedwetting and why previous treatment has failed. The use of a micturition diary is essential.

- The child's problems and needs have to be identified and treated individually. The enuresis alarm, with the proper guidance, is the preferred form of initial treatment.

- Desmopressin is particularly suitable in cases of nocturnal polyuria or if the use of the alarm is unfeasible.

- If the alarm does not have any effect within two weeks or if a rapid result is important, a combination of desmopressin and the alarm is advisable.

- Bedwetting combined with daytime micturition problems is often indicative of a small bladder capacity and/or detrusor instability. In these children bladder training and/or treatment with an anticholinergic drug (possibly combined with desmopressin) may be effective.