The South African guidelines on enuresis: 2024 update
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.
Authors
- Shingai B.A. Mutambirwa (ORCID: https://orcid.org/0000-0003-1414-0218)
- Jeff John (ORCID: https://orcid.org/0000-0002-6139-810X)
- Helen Lourens
- Aniruddh Deshpande (ORCID: https://orcid.org/0000-0001-7303-9131)
- Shivesh Maharaj (ORCID: https://orcid.org/0000-0002-2118-2400)
- Kgomotso Mathabe (ORCID: https://orcid.org/0000-0002-1921-0177)
- Tim De Maayer (ORCID: https://orcid.org/0000-0001-7786-3160)
- Siobhán Leahy (ORCID: https://orcid.org/0000-0003-3708-5047)
- Frederik M. Claassen (ORCID: https://orcid.org/0000-0002-2847-3139)
- André van der Merwe (ORCID: https://orcid.org/0000-0002-2006-8331)
- Grahame Smith (ORCID: https://orcid.org/0000-0002-2911-6520)
- J. Michael Lazarus (ORCID: https://orcid.org/0000-0003-2417-8332)
- I Van Heerden
- Ahmed Adam (ORCID: https://orcid.org/0000-0001-9069-3282)
- Karen L. Petersen (ORCID: https://orcid.org/0000-0002-9633-5125)
- J. Megan Fredericks (ORCID: https://orcid.org/0000-0003-0385-1540)
- A Badenhorst (ORCID: https://orcid.org/0000-0002-7058-8351)
- Fahad Alyami (ORCID: https://orcid.org/0000-0002-4519-4510)
- M Fockema
- Errol Gottlich
- Mulalo B. Radzuma
- Evelyn Moshokoa
- N Lala
- C A Zietsman (ORCID: https://orcid.org/0009-0001-2901-919X)
Institutions
- Alfaisal University (SA)
- University of the Witwatersrand (ZA)
- University of the Free State (ZA)
- Johannesburg Hospital (ZA)
- Chris Hani Baragwanath Hospital (ZA)
- Frere Hospital (ZA)
- Sefako Makgatho Health Sciences University (ZA)
- Steve Biko Hospital (ZA)
- Tygerberg Hospital (ZA)
- Midea Group (China) (CN)
- Female Pelvic Medicine Institute of Virginia (US)
- Wits University Donald Gordon Medical Centre (ZA)
- Institute of Child and Mother Health (BD)
- Morningside College (US)
- Walter Sisulu University (ZA)
- University of KwaZulu-Natal (ZA)
Publication Details
- Journal
- South African Medical Journal
- Published
- 2024-10-28
- DOI
- https://doi.org/10.7196/samj.2024.v114i10.3450
- Primary Topic
- Urinary Bladder and Prostate Research
- Type
- article
- Field-Weighted Citation Impact
- 0.00