International overview on diagnosis and treatment of nocturnal enuresis: A Survey Study by EAU YAU Paediatric Urology Working Group Perspectiva internacional sobre el diagnóstico y tratamiento de la enuresis nocturna: estudio basado en una encuesta del Grupo de Trabajo de Urología Pediátrica de la Sección de Jóvenes Urólogos Académicos (YAU) de la Asociación Europea de Urología (EAU)

BAYDİLLİ N., DÖNMEZ M. İ., Quiroz Madarriaga Y., Banuelos Marco B., Selvi İ., Bindi E., ...Daha Fazla

Actas Urologicas Espanolas, 2025 (SCI-Expanded, Scopus) identifier

  • Yayın Türü: Makale / Derleme
  • Basım Tarihi: 2025
  • Doi Numarası: 10.1016/j.acuro.2025.501822
  • Dergi Adı: Actas Urologicas Espanolas
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Gender Studies Database, MEDLINE, DIALNET
  • Anahtar Kelimeler: Bedwetting, Child, Enuresis, Nocturnal, Pediatric urology
  • Erciyes Üniversitesi Adresli: Evet

Özet

Objective: This study assessed global diagnostic and therapeutic approaches to nocturnal enuresis (NE), highlighting current practices and variations. Materials and methods: An 18-question survey by the European Association of Urology (EAU) Young Academic Urologist (YAU) Paediatric Urology Working Group targeted clinicians managing NE. Distributed online, it reached Urologists, Pediatric Urologists, Pediatricians, Nephrologists, and Urotherapists. The survey collected demographic data and details on diagnostic and treatment practices. Responses were analyzed using descriptive statistics. Results: Most respondents worked in university or government hospitals, with pediatric urologists forming the largest group (43.6%). A significant portion had 11-20 years of NE management experience. Initial treatment favored behavioral strategies and urotherapy (84.5%), with desmopressin as a common first-line medication (23.8%). Most clinicians initiated treatment at ages 5-6. Bladder diaries were widely used (82.0%), while airway assessments were inconsistent (52.1%). Diagnostic test usage varied, with urinary tract ultrasonography (53.65%) and urinalysis (51.5%) employed to identify underlying abnormalities. Psychological referrals were common for secondary enuresis (58.9%). Conclusion: NE management varies globally due to regional practices, clinician experience, and specialty focus. The findings emphasize the need for standardized guidelines and education on comprehensive assessments, including sleep-related factors. International collaboration and guideline development could enhance consistency and improve patient outcomes.