Treatment Desired Outcomes

• Restoration of continence, which may not initially be a realistic outcome

• Reduction in the number of enuresis episodes

• Prevention or amelioration of disease complications including adverse psychological effects on the patient and caregivers or delay in developmental milestones

• Avoidance or prevention of adverse treatment effects

• Minimization of treatment costs

• Improvement in the patient-s and caregivers' quality of life General Approach to Treatment

Treatment is guided by the findings of the patient assessment. Daytime wetting, abnormal voiding such as unusual posturing, discomfort, straining, or poor stream, history of recurrent UTIs, and abnormalities of the genitalia suggest the need for referral to a urologist. In the rare circumstance of a true psychological cause, individual and/ or family psychotherapy and crisis intervention are recommended.

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