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Last reviewed: 20 Mar 2025
Last updated: 19 May 2023

Summary

Definition

History and exam

Key diagnostic factors

  • increased fluid intake at night
  • urinary frequency
  • constipation
  • caffeine and other bladder irritants
  • urinary urgency

Other diagnostic factors

  • abnormal voiding habits
  • abnormal breathing pattern at night

Risk factors

  • genetic predisposition
  • constipation
  • upper airway obstruction/sleep-disordered breathing
  • ADHD
  • psychological disorders
  • male sex

Diagnostic tests

Treatment algorithm

Contributors

Authors

Erin C. Grantham, MD

Pediatric Urologist

Department of Urology

Billings Clinic

Billings

MT

Disclosures

ECG declares that she has no competing interests.

Acknowledgements

Dr Erin C. Grantham would like to gratefully acknowledge Dr Duncan T. Wilcox and Dr Nicholas G. Cost, the previous contributors to this topic. Dr Erin C. Grantham would also like to acknowledge Jillian Hatfield for her contribution to this topic.

Disclosures

DTW and NGC declare that they have no competing interests.

Peer reviewers

Prasad Godbole, FRCS, FRCS (Paed), FEAPU

Consultant Paediatric Urologist

Paediatric Surgical Unit

Sheffield Children's NHS Foundation Trust

Western Bank

Sheffield

UK

Disclosures

PG declares that he has no competing interests.

Elizabeth Jackson, MD

Associate Professor

Pediatric Nephrology

Cincinnati Children's Hospital Medical Center

Cincinnati

OH

Disclosures

EJ declares that she has no competing interests.

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