The South African guidelines on enuresis: 2024 update.

IF 1.5 4区医学 Q2 MEDICINE, GENERAL & INTERNAL Samj South African Medical Journal Pub Date : 2024-11-04 DOI:10.7196/SAMJ.2024.v114i11.2790

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

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Abstract

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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南非遗尿症指南：2024 年更新版。

背景：遗尿症又称夜间遗尿，其特征是年龄≥5岁的儿童在睡眠期间发生离散性尿失禁，且不伴有先天性或后天性神经系统疾病。本指南是对2017年版指南的更新：该指南为南非（SA）现有的各种遗尿症治疗方案提供了建议和意见。这些方案包括行为矫正、尿道治疗、药物治疗、报警治疗、替代疗法、神经调节、心理支持和生物反馈。此外，文件还探讨了排尿日记、附加检查和手机应用程序（App）在治疗遗尿症中的作用。该文件还概述了标准化定义，以提高清晰度：这是一份更新版指南，得到了南澳大利亚相关主要意见领袖的认可，该领域的国际专家也提供了补充意见。

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来源期刊

Samj South African Medical Journal 医学-医学：内科

CiteScore

3.00

自引率

4.50%

发文量

175

审稿时长

4-8 weeks

期刊介绍： The SAMJ is a monthly peer reviewed, internationally indexed, general medical journal. It carries The SAMJ is a monthly, peer-reviewed, internationally indexed, general medical journal publishing leading research impacting clinical care in Africa. The Journal is not limited to articles that have ‘general medical content’, but is intending to capture the spectrum of medical and health sciences, grouped by relevance to the country’s burden of disease. This will include research in the social sciences and economics that is relevant to the medical issues around our burden of disease The journal carries research articles and letters, editorials, clinical practice and other medical articles and personal opinion, South African health-related news, obituaries, general correspondence, and classified advertisements (refer to the section policies for further information).