Adaptation of Monosymptomatic Enuresis Guide in Spanish

Abstract

The general objective is to adapt recommendations on monosymptomatic primary enuresis (ME) to the regional context. The instruments used were “Guide for the Adaptation of Clinical Practice Guidelines” and “Guidelines for creation of Consensus” (Sociedad Argentina de Pediatría). ME is called intermittent urinary incontinence during the sleep of children > 5 years of age, with no other symptoms of the urinary tract. It is differentiated from non-monosymptomatic enuresis, defined by the presence of other symptoms of the lower urinary tract, mainly during the day. The ME is a transitory condition with spontaneous resolution so the decision to start treatment must be agreed with the child and their family environment. The primary care pediatrician should be the first contact with a child with ME, who implements the initial general behaviors and eventual indication of specific first-line medication, such as alarm and desmopressin.