The South African guidelines on enuresis: 2024 update.

Autor: Adam A; Division 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 Africa., Badenhorst A; Division of Urology, Department of Surgery, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa., Claassen F; Department of Urology, Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa., De Maayer T; Paediatric 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 Africa., Fockema M; Pelvic and Urotherapy Institute, Johannesburg, South Africa., Fredericks J; Department of Paediatrics and Child Health, Rahima Moosa Mother and Child (Coronation) Hospital and Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa., Gottlich E; Paediatric Nephrology, Mediclinic Morningside, South Africa., John J; Division 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 Africa., Lala N; 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 Africa., Lazarus J; Division of Urology, Red Cross War Memorial Children's and Groote Schuur hospitals and Faculty of Health Sciences, University of Cape Town, South Africa., Leahy S; 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 Africa., Lourens HN; Pretoria Urology Hospital, Pretoria, South Africa., Maharaj S; Charlotte Maxeke Johannesburg Academic Hospital and Department of Otorhinolaryngology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa., Mathabe KM; Department of Urology, Steve Biko Academic Hospital and University of Pretoria, South Africa., Moshokoa EM; Mediclinic Midstream Hospital, Midstream, South Africa., Mutambirwa SBA; Department of Urology, Dr George Mukhari Academic Hospital and Sefako Makgatho Health Sciences University, Pretoria, South Africa., Petersen KL; 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 Africa., Radzuma MB; Department of Urology, Dr George Mukhari Academic Hospital and Sefako Makgatho Health Sciences University, Pretoria, South Africa., Van der Merwe A; Department of Urology, Tygerberg Hospital and Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa., Van Heerden I; Pretoria Urology Hospital, Pretoria, South Africa., Zietsman CA; Discipline of Urology, School of Clinical Medicine, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa., Alyami F; King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia; College of Medicine, Alfaisal Univeristy, Riyadh, Saudi Arabia., Deshpande A; 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, Australia., Smith GHH; Urology Unit, Department of Paediatric Surgery, The Children's Hospital at Westmead, Sydney, Australia; Department of Paediatrics and Child Health, University of Sydney, Australia.
Jazyk: angličtina
Zdroj: South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde [S Afr Med J] 2024 Nov 04; Vol. 114 (11), pp. e2790. Date of Electronic Publication: 2024 Nov 04.
DOI: 10.7196/SAMJ.2024.v114i11.2790
Abstrakt: 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.
Databáze: MEDLINE