The South African guidelines on enuresis: 2024 update
Background. Enuresis, also referred to as nocturnal enuresis, is characterised by discrete episodes of urinary incontinence during sleep in children aged ≥5 years in the absence of congenital or acquired neurological disorders. This guideline is an update of the 2017 version. Recommendat...
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| Language: | English |
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South African Medical Association
2024-11-01
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| Series: | South African Medical Journal |
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| Online Access: | https://samajournals.co.za/index.php/samj/article/view/2790 |
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| author | A Adam A Badenhorst F Claassen T de Maayer M Fockema J Fredericks E Gottlich J John N Lala J Lazarus S Leahy H N Lourens S Maharaj K M Mathabe E M Moshokoa S B A Mutambirwa K L Petersen M B Radzuma A van der Merwe I van Heerden C A Zietsman F Alyami A Deshpande G H H Smith |
| author_facet | A Adam A Badenhorst F Claassen T de Maayer M Fockema J Fredericks E Gottlich J John N Lala J Lazarus S Leahy H N Lourens S Maharaj K M Mathabe E M Moshokoa S B A Mutambirwa K L Petersen M B Radzuma A van der Merwe I van Heerden C A Zietsman F Alyami A Deshpande G H H Smith |
| author_sort | A Adam |
| collection | DOAJ |
| description |
Background. Enuresis, also referred to as nocturnal enuresis, is characterised by discrete episodes of urinary incontinence during sleep in children aged ≥5 years in the absence of congenital or acquired neurological disorders. This guideline is an update of the 2017 version.
Recommendations. The guideline provides recommendations and suggestions for various therapeutic options for enuresis available in South Africa (SA). These options include behavioural modification, urotherapy, pharmaceutical therapy, alarm therapy, alternative therapies, neuromodulation, psychological support and biofeedback. Additionally, it explores the role of a voiding diary, additional investigations and mobile phone applications (apps) in treating enuresis. The document also outlines standardised definitions for clarity.
Conclusion. This is an updated guideline endorsed by relevant key opinion leaders in SA, with additional input from international experts in the field.
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| format | Article |
| id | doaj-art-069344948ac04b13bbc22fff4b9b0b17 |
| institution | Kabale University |
| issn | 0256-9574 2078-5135 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | South African Medical Association |
| record_format | Article |
| series | South African Medical Journal |
| spelling | doaj-art-069344948ac04b13bbc22fff4b9b0b172025-02-10T12:25:31ZengSouth African Medical AssociationSouth African Medical Journal0256-95742078-51352024-11-011141110.7196/SAMJ.2024.v114i11.2790The South African guidelines on enuresis: 2024 updateA Adam0A Badenhorst1F Claassen2T de Maayer3M Fockema4J Fredericks5E Gottlich6J John7N Lala8J Lazarus9S Leahy10H N Lourens11S Maharaj12K M Mathabe13E M Moshokoa14S B A Mutambirwa15K L Petersen16M B Radzuma17A van der Merwe18I van Heerden19C A Zietsman20F Alyami21A Deshpande22G H H Smith23Division of Urology, Department of Surgery, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; Department of Urology, Charlotte Maxeke Johannesburg Academic Hospital, Johannesburg, South Africa; Wits Donald Gordon Medical Centre, Johannesburg, South AfricaDivision of Urology, Department of Surgery, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South AfricaDepartment of Urology, Faculty of Health Sciences, University of the Free State, Bloemfontein, South AfricaPaediatric Gastroenterology, Rahima Moosa Mother and Child (Coronation) Hospital and Department of Paediatrics and Child Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South AfricaPelvic and Urotherapy Institute, Johannesburg, South AfricaDepartment of Paediatrics and Child Health, Rahima Moosa Mother and Child (Coronation) Hospital and Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South AfricaPaediatric Nephrology, Mediclinic Morningside, South AfricaDivision of Urology, Department of Surgery, Frere Hospital and Faculty of Medicine and Health Sciences, Walter Sisulu University, East London, South Africa; Division of Urology, Department of Surgery, Faculty of Health Sciences, University of Cape Town, South AfricaDivision of Paediatric Nephrology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; Department of Paediatrics, Chris Hani Baragwanath Academic Hospital, Johannesburg, South AfricaDivision of Urology, Red Cross War Memorial Children’s and Groote Schuur hospitals and Faculty of Health Sciences, University of Cape Town, South Africa Division of Paediatric Nephrology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; Department of Paediatrics, Chris Hani Baragwanath Academic Hospital, Johannesburg, South AfricaPretoria Urology Hospital, Pretoria, South AfricaCharlotte Maxeke Johannesburg Academic Hospital and Department of Otorhinolaryngology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South AfricaDepartment of Urology, Steve Biko Academic Hospital and University of Pretoria, South AfricaMediclinic Midstream Hospital, Midstream, South AfricaDepartment of Urology, Dr George Mukhari Academic Hospital and Sefako Makgatho Health Sciences University, Pretoria, South AfricaDivision of Paediatric Nephrology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; Department of Paediatrics, Chris Hani Baragwanath Academic Hospital, Johannesburg, South AfricaDepartment of Urology, Dr George Mukhari Academic Hospital and Sefako Makgatho Health Sciences University, Pretoria, South AfricaDepartment of Urology, Tygerberg Hospital and Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South AfricaPretoria Urology Hospital, Pretoria, South AfricaDiscipline of Urology, School of Clinical Medicine, College of Health Sciences, University of KwaZulu-Natal, Durban, South AfricaKing Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia; College of Medicine, Alfaisal Univeristy, Riyadh, Saudi Arabia Urology Unit, Department of Paediatric Surgery, The Children’s Hospital at Westmead, Sydney, Australia; Faculty of Medicine and Health, University of Sydney, Australia; School of Medicine and Public Health, University of Newcastle, AustraliaUrology Unit, Department of Paediatric Surgery, The Children’s Hospital at Westmead, Sydney, Australia; Department of Paediatrics and Child Health, University of Sydney, Australia Background. Enuresis, also referred to as nocturnal enuresis, is characterised by discrete episodes of urinary incontinence during sleep in children aged ≥5 years in the absence of congenital or acquired neurological disorders. This guideline is an update of the 2017 version. Recommendations. The guideline provides recommendations and suggestions for various therapeutic options for enuresis available in South Africa (SA). These options include behavioural modification, urotherapy, pharmaceutical therapy, alarm therapy, alternative therapies, neuromodulation, psychological support and biofeedback. Additionally, it explores the role of a voiding diary, additional investigations and mobile phone applications (apps) in treating enuresis. The document also outlines standardised definitions for clarity. Conclusion. This is an updated guideline endorsed by relevant key opinion leaders in SA, with additional input from international experts in the field. https://samajournals.co.za/index.php/samj/article/view/2790CME |
| spellingShingle | A Adam A Badenhorst F Claassen T de Maayer M Fockema J Fredericks E Gottlich J John N Lala J Lazarus S Leahy H N Lourens S Maharaj K M Mathabe E M Moshokoa S B A Mutambirwa K L Petersen M B Radzuma A van der Merwe I van Heerden C A Zietsman F Alyami A Deshpande G H H Smith The South African guidelines on enuresis: 2024 update South African Medical Journal CME |
| title | The South African guidelines on enuresis: 2024 update |
| title_full | The South African guidelines on enuresis: 2024 update |
| title_fullStr | The South African guidelines on enuresis: 2024 update |
| title_full_unstemmed | The South African guidelines on enuresis: 2024 update |
| title_short | The South African guidelines on enuresis: 2024 update |
| title_sort | south african guidelines on enuresis 2024 update |
| topic | CME |
| url | https://samajournals.co.za/index.php/samj/article/view/2790 |
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