Standard of Care:
The “standard of care” or “majority opinion”, held by about 60% of pediatricians in this country, is that nocturnal enuresis requires no treatment at all. Most will tell you, in essence, “don’t worry about it, they’ll outgrow it eventually.” While certainly true, as far as it goes, this viewpoint ignores certain important facts. Nocturnal enuresis is a cause of significant concern to parents, stress and expense to families, and, especially in older children, distress to the child. It can have an adverse impact on social functioning and self esteem. Finally, safe effective treatments do exist which will hasten the day enuresis is “outgrown” in a large percentage of bedwetting children. For all these reason’s, I don’t feel the no treatment option is ideal in most cases.