Indonesia Urologists’ Current Practice on Nocturnal Enuresis

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Abstract

Nocturnal enuresis (NE) is a symptom and a condition of intermittent incontinence which takes place during periods of sleep. Being the most common form of incontinence in children, the prevalence of NE in Indonesia is 2.3%. The objective of the study was to review Indonesian urologists' current practice on NE. This was a descriptive cross-sectional study using a self-constructed questionnaire which was distributed during several urological scientific meetings from August 2017 until August 2018. Indonesian urologists were asked to fill out these questionnaires which contained characteristics of the respondents and NE patients they had seen in their practices, diagnostic modalities and treatment options for NE. 133 out of 400 urologists participated. Most urologists had to deal with 1-5 cases NE per month. It was most commonly seen in 5-10 age group and affecting more girls than boys (45.9% vs 27.8% respectively). Approximately only half of Indonesian urologists utilized bladder diary for NE cases. Almost 90% urologist educated and proposed lifestyle intervention to manage NE. Alarm therapy and desmopressin was chosen by 51.1% and 21.8% of urologists respectively as treatment. Desmopressin was still less commonly prescribed compared to antimuscarinic and beta 3 agonist. To conclude, diagnostic strategies for NE are mostly in accordance with available guidelines although bladder diary was only opted by approximately half of urologists. Regarding treatment, education, lifestyle intervention and alarm therapy were the most form of treatment utilized for this condition.
Original languageEnglish
JournaleJournal Kedokteran Indonesia
Publication statusPublished - 2020

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