Enuresis

Summary: Urological referral not normally indicated for primary enuresis but should be considered in adults and in patients with secondary enuresis

Advice: Urological referral not normally indicated for primary enuresis but should be considered in adults and in patients with secondary enuresis.
Refer To: Any adult urologist (by generic referral)

Contents:

Primary enuresis

Exclude urinary infection and arrange ultrasound in children. Try anticholinergic therapy (Tofranil®), “lifting”, alarms, Desmopressin spray®, Desmotabs® or Desmomelt®. Refer to Paediatric Urologist only if treatment fails.

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Secondary enuresis

Urological referral indicated

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Adult enuresis

Consider chronic retention with overflow and refer to Consultant Urologist. Associated daytime symptoms (e.g. frequency, urgency) suggest bladder instability, for which a bladder training regime may be considered initially, perhaps supplemented with an anticholinergic drug (e.g. Detrusitol®, Detrunorm®, Oxybutynin, Vesicare®, Regurin®, Oxybutynin or Oxybutynin patches).

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Fast-Track referral forms (medical staff only)

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Related Downloads

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