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
- Secondary enuresis
- Adult enuresis
- Fast-Track referral forms (medical staff only)
- Related downloads
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.
Secondary enuresis
Urological referral indicated
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).
Fast-Track referral forms (medical staff only)
Related Downloads
- Miscellaneous: Bladder training (224 KB)
- Specific Disorders: Pelvic floor exercises in men (231 KB)
- Specific Disorders: Pelvic floor exercises in women (228 KB)