Although based on a small sample this study offers an insight into possible therapeutic mechanisms of an enuresis alarm. It suggests that most children who become dry sleep through the night and that increased nocturnal urine concentration (and thus reduced urine volume) is likely to be the means whereby this is achieved. Furthermore, the study suggests two possible mechanisms whereby nocturnal urine concentration is achieved: either increased production of vasopressin or enhanced water transport across the urothelium.

Although nocturnal enuresis is common in children and young people, many families have difficulty understanding the condition and accessing appropriate advice and support. Healthcare professionals need to be able to demonstrate knowledge of assessment, causes and management of nocturnal enuresis to provide patients and their families with individualised care. This article discusses the importance of identifying the causes of bedwetting, thorough assessment of the patient and selection of appropriate management strategies.

Although nocturnal enuresis is common in children and young people, many families have difficulty understanding the condition and accessing appropriate advice and support. Healthcare professionals need to be able to demonstrate knowledge of assessment, causes and management of nocturnal enuresis to provide patients and their families with individualised care. This article discusses the importance of identifying the causes of bedwetting, thorough assessment of the patient and selection of appropriate management strategies.

Bedwetting can have a serious impact of a child's self-esteem and emotional wellbeing. Sally Norfolk and Janet Wootton provide and overview.

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