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Dry Night Training & Treatment of Nocturnal Enuresis


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Treatment



• Constipation

• Education and Urotherapy

• Track bladder and bowels

• Bladder irritants

• Check enough voids in the day

• Avoid fluids 2 hours before bed

• Always void first thing in morning

• Boys sit to void

• Breathing exercises

• Pelvic floor- and core exercises as required

• Pharmacological Therapy

• Desmopressin DDAVP

• Anticholinergic

• Enuresis alarms

• Electronic device that is worn or placed in bed that will provide a signal, most commonly loud acoustic noise, when it senses an episode of incontinence. ‘The child then wakes and consciously contracts the pelvic floor muscle and walks to the toilet

• Needs to be used for 3 months



Dry night training: A week of being detective



80% of kids wet in first 4 hours, others 20% in 2 hours before they wake up


• Check child every hour after they go to sleep for the first 4 hours and then 2 hours before they wake up and 1 hour before they wake up

• If wet, change them

• If child appears to be wetting at 10 pm, wake child 21h30, fully wake them gently o Walk with them to toilet and get them to void.

• Walk with them back to bed

• When 7 nights in a row dry, wake at 21h00

• Continue to bring it forward by 15-30 min

• Continue until doing one last big void before bed





Antoinette Jansen van Vuuren



Suite 13, Netcare Pretoria East Hospital, Cnr Garsfontein Road & Netcare Ave, Pretoria East