Causes of Enuresis - Differential Diagnosis Algorithm Primary Nocturnal Enuresis (Urinary Control Never Achieved) • Delayed Maturation (Familial) • Idiopathic • Sleep Disorders (Obstructive Sleep Apnea) • Anatomic Abnormality Secondary Nocturnal Enuresis (Red Flag) (>6 Month Continence Prior): • Urinary Tract Infection • Idiopathic • Behavioural/Psychogenic (Child Abuse) • Cystitis • Diabetes Mellitus • Other (Diabetes Insipidus, Urethral Obstruction, Cerebral Palsy, Neurogenic Bladder, Seizure Disorder) Diurnal Enuresis: • Pediatric Unstable Bladder • Infrequent Voiding (Urinary Tract Infection) • Cystitis • Behavioural/Psychogenic • Idiopathic • Non-neurogenic (Hinman Syndrome) • Vaginal Voiding (Labial Adhesion) #Nocturnal #Enuresis #Differential #Diagnosis #Algorithm #Causes #Peds #Pediatrics
