ArticleWorld journal of pediatrics : WJP2026
Expert consensus on the management of nocturnal enuresis in children.
Article in World journal of pediatrics : WJP, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundNocturnal enuresis (NE) is a common condition in childhood that can adversely affect children's physical and psychological health. Since the publication of the "Expert Consensus on the Management of Monosymptomatic Nocturnal Enuresis in Chinese Children" in 2014, substantial clinical experience has been accumulated and international guidelines have been updated, necessitating a revision to standardize and improve clinical management.
methodsThis consensus was developed by the Chinese Cooperative Group for the Management of Pediatric Nocturnal Enuresis, the Pediatric Nephrology Committee of the Chinese Medical Doctor Association using the Delphi method. A core writing group of nine experts drafted statements based on a synthesis of current evidence. These were subjected to iterative voting by 42 multidisciplinary panelists to achieve consensus, defined as ≥ 90% agreement.
resultsThe consensus provides 18 key recommendations. It updates the diagnostic criteria for children aged ≥ 5 years with at least one involuntary void per month for three months. It emphasizes classification into monosymptomatic (MNE) or nonmonosymptomatic (NMNE) NE based on daytime lower urinary tract symptoms. Recommendations cover comprehensive evaluation (history, physical exam, voiding diary), basic management (education, lifestyle), and first-line treatment (desmopressin for nocturnal polyuria, alarm therapy for reduced bladder capacity). Strategies for treatment-resistant cases, management of NMNE (prioritizing daytime symptoms), and the role of primary care and traditional Chinese medicine are outlined.
conclusionsThis expert consensus provides an updated, evidence-based, and practical framework for the diagnosis and management of childhood NE. It aims to harmonize clinical practice, promote individualized care, and improve patient outcomes through standardized recommendations.
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