Enuresis: Nocturnal Enuresis and Diurnal Enuresis

The American Pediatric Academy proposed the acceptable definition of enuresis as, the involuntary wetting of clothes or bedding by urine during the daytime or nighttime. The main reasons of enuresis are delay in central nervous system maturation, under capacitated bladder, abnormalities of the urinary tract, nocturnal insufficient antidiuretic hormone secretion and psychogenic factors. Mothers of pediatric with enuresis observed a lower quality of life, in terms of anxiety and depression, more stress and more intensity of pain than mothers of healthy pediatric. Nocturnal enuresis is characterized as the symptoms of intermittent urinary incontinence during sleep, at a minimum age of five yrs, with a minimum duration of three months, and a minimum of one episode per month. Nocturnal enuresis (night time wetting) is more common in boys. Diurnal enuresis can be characterized as unintended urination in a pediatric old enough to have develop control or uncontrolled passing of urine that occurs after age of five yrs and also when a child who is toilet trained has wetting accidents during the day. Diurnal enuresis (daytime wetting (functional daytime urinary incontinence)) is more common in girls.