Management of nocturnal enuresis in Taiwan: Consensus statements of the Taiwan enuresis expert committee

Ta Min Wang, Stephen Shei Dei Yang, Jeng Daw Tsai, Mei Ching Yu, Yee Hsuan Chiou, Kuo Liang Chen, Hong Lin Cheng, Jesun Lin, Hsiao Wen Chen, Hann Chorng Kuo, Shyh Chyan Chen

Research output: Contribution to journalReview articlepeer-review

1 Citation (Scopus)

Abstract

Nocturnal enuresis causes significant psychological distress to affected children and their family and requires appropriate management. A 12-member expert committee of pediatric urologists and pediatric nephrologists in Taiwan with extensive experience in treating enuresis was established to develop consensus statements and a recommended treatment algorithm for the management of patients with nocturnal enuresis in Taiwan after careful consideration of current evidence, existing guidelines, and expert opinion as well as local practice and culture. The finalized consensus statements were reviewed by and have received endorsement from the Taiwan Urological Association and the Taiwan Pediatric Association. Patients with suspected enuresis should undergo a thorough initial assessment to fully evaluate urinary signs and symptoms and to rule out underlying causes of diurnal and nocturnal incontinence. Behavioral therapy is recommended throughout the course of management. Desmopressin in the fast-melting formulation is the recommended first-line pharmacological treatment. Combination therapy may be effective in patients who have failed first-line treatment. These consensus statements and a recommended treatment algorithm were created by the expert committee to provide practical support for clinical decision making by physicians in Taiwan.

Original languageEnglish
Pages (from-to)965-972
Number of pages8
JournalJournal of the Formosan Medical Association
Volume118
Issue number6
DOIs
Publication statusPublished - 2019 Jun

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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