The South African guidelines on Enuresis—2017
Introduction: Enuresis (or Nocturnal Enuresis) is defined as discreet episodes of urinary incontinence during sleep in children over 5 years of age in the absence of congenital or acquired neurological disorders. Recommendations: Suggestions and recommendations are made on the various therapeutic op...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2018-03-01
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| Series: | African Journal of Urology |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1110570417300681 |
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Article |
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DOAJ |
| language |
English |
| format |
Article |
| sources |
DOAJ |
| author |
Ahmed Adam Frederik Claassen Ashraf Coovadia Tim de Maayer Margaret Fockema Joy Fredericks Errol Gottlich Lizelle Grindell Mohamed Haffejee John Lazarus Cecil Levy Kgomotso Mathabe Mignon McCulloch Glenda Moonsamy Evelyn Moshokoa Shingai Mutambirwa Haroun Patel André van der Merwe Izak Van Heerden Frans Van Vijk Aniruddh Deshpande Grahame Smith Piet Hoebeke |
| spellingShingle |
Ahmed Adam Frederik Claassen Ashraf Coovadia Tim de Maayer Margaret Fockema Joy Fredericks Errol Gottlich Lizelle Grindell Mohamed Haffejee John Lazarus Cecil Levy Kgomotso Mathabe Mignon McCulloch Glenda Moonsamy Evelyn Moshokoa Shingai Mutambirwa Haroun Patel André van der Merwe Izak Van Heerden Frans Van Vijk Aniruddh Deshpande Grahame Smith Piet Hoebeke The South African guidelines on Enuresis—2017 African Journal of Urology |
| author_facet |
Ahmed Adam Frederik Claassen Ashraf Coovadia Tim de Maayer Margaret Fockema Joy Fredericks Errol Gottlich Lizelle Grindell Mohamed Haffejee John Lazarus Cecil Levy Kgomotso Mathabe Mignon McCulloch Glenda Moonsamy Evelyn Moshokoa Shingai Mutambirwa Haroun Patel André van der Merwe Izak Van Heerden Frans Van Vijk Aniruddh Deshpande Grahame Smith Piet Hoebeke |
| author_sort |
Ahmed Adam |
| title |
The South African guidelines on Enuresis—2017 |
| title_short |
The South African guidelines on Enuresis—2017 |
| title_full |
The South African guidelines on Enuresis—2017 |
| title_fullStr |
The South African guidelines on Enuresis—2017 |
| title_full_unstemmed |
The South African guidelines on Enuresis—2017 |
| title_sort |
south african guidelines on enuresis—2017 |
| publisher |
SpringerOpen |
| series |
African Journal of Urology |
| issn |
1110-5704 |
| publishDate |
2018-03-01 |
| description |
Introduction: Enuresis (or Nocturnal Enuresis) is defined as discreet episodes of urinary incontinence during sleep in children over 5 years of age in the absence of congenital or acquired neurological disorders. Recommendations: Suggestions and recommendations are made on the various therapeutic options available within a South African context. These therapeutic options include; behavioural modification, pharmaceutical therapy [Desmospressin (DDAVP), Anticholinergic (ACh) Agents, Mirabegron (β3-adrenoreceptor agonists), and Tricyclic Antidepressants (TCA)], alternative treatments, complementary therapies, urotherapy, alarm therapy, psychological therapy and biofeedback. The role of the Bladder Diary, additional investigations and Mobile Phone Applications (Apps) in enuresis is also explored. Standardised definitions are also outlined within this document. Conclusion: An independent, unbiased, national evaluation and treatment guideline based on the pathophysiological subcategory is proposed using an updated, evidence based approach. This Guideline has received endorsement from the South African Urological Association, Enuresis Academy of South Africa and further input from international experts within the field. Keywords: Enuresis, Nocturnal Enuresis, South African, Therapeutic options, Mobile Phone Applications (Apps), Treatment guideline, Expert consensus |
| url |
http://www.sciencedirect.com/science/article/pii/S1110570417300681 |
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doaj-8fee6eacffce4f1193bef66746cd713c2020-11-25T01:15:46ZengSpringerOpenAfrican Journal of Urology1110-57042018-03-01241113The South African guidelines on Enuresis—2017Ahmed Adam0Frederik Claassen1Ashraf Coovadia2Tim de Maayer3Margaret Fockema4Joy Fredericks5Errol Gottlich6Lizelle Grindell7Mohamed Haffejee8John Lazarus9Cecil Levy10Kgomotso Mathabe11Mignon McCulloch12Glenda Moonsamy13Evelyn Moshokoa14Shingai Mutambirwa15Haroun Patel16André van der Merwe17Izak Van Heerden18Frans Van Vijk19Aniruddh Deshpande20Grahame Smith21Piet Hoebeke22Department of Urology, Helen Joseph Hospital, South Africa; Department of Adult and Paediatric Urology, Rahima Moosa Mother & Child (Coronation) Hospital, South Africa; The Division of Urology, Department of Surgery, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; Corresponding author at: Division of Urology, Department of Surgery, Wits Medical School, 9th Floor, Room 9S19, 07 York Road, Parktown, Private Bag X3, Johannesburg, 2050, South Africa.Department of Urology, Faculty of Health Sciences, University of the Free State, Bloemfontein, South AfricaDepartment of Paediatrics and Child Health, Rahima Moosa Mother & Child (Coronation) Hospital, University of the Witwatersrand, Johannesburg, South AfricaPaediatric Gastroenterology, Rahima Moosa Mother & Child (Coronation) Hospital, Department of Paediatrics and Child Health, University of the Witwatersrand, Johannesburg, South AfricaThe Pelvic and Urotherapy Institute, Johannesburg, South AfricaDepartment of Paediatrics and Child Health, Rahima Moosa Mother and Child Hospital (Coronation) Hospital, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, Gauteng, South AfricaPaediatric Nephrology, Mediclinic Morningside, Morningside, South AfricaApplied Electro-Psychophysiology & BioFeedback, The Pelvic and Urotherapy Institute, Johannesburg, South AfricaThe Division of Urology, Department of Surgery, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; Department of Urology, Charlotte Maxeke Johannesburg Academic Hospital, South AfricaDivision of Urology, Red Cross War Memorial Children’s and Groote Schuur Hospitals, University of Cape Town, Cape Town, South AfricaDivision of Paediatric Nephrology, Department of Paediatrics and Child Health, Charlotte Maxeke Johannesburg Academic Hospital, University of Witwatersrand, Johannesburg, South AfricaDepartment of Urology, Steve Biko Academic Hospital, University of Pretoria, Pretoria, South AfricaPaediatric Intensive Care Unit (PICU) Consultant and Nephrologist, Red Cross War Memorial Children’s Hospital, University of Cape Town, Cape Town, South AfricaDivision of Paediatric Nephrology, Department of Paediatrics and Child Health, Charlotte Maxeke Johannesburg Academic Hospital, University of Witwatersrand, Johannesburg, South AfricaDepartment of Urology, Steve Biko Academic Hospital, University of Pretoria, Pretoria, South AfricaDepartment of Urology, Dr. George Mukhari Academic Hospital, Sefako Makgatho Health Sciences University, Ga-Rankuwa, Pretoria North, South AfricaNetcare Parklands Hospital, Parklands, KwaZulu-Natal, South AfricaDepartment of Urology, Tygerberg Hospital, University of Stellenbosch, Cape Town, South AfricaSteve Biko Academic Hospital, University of Pretoria, Pretoria Urology Hospital, Hatfield, Pretoria, South AfricaSteve Biko Academic Hospital, University of Pretoria, Pretoria Urology Hospital, Hatfield, Pretoria, South AfricaAgency for Clinical Innovation Collaborative Group of Urinary Incontinence in Children, Australia; Department of Paediatric Urology and Paediatric Surgery, John Hunter Children’s Hospital, School of Medicine and Public Health, University of Newcastle, Newcastle, AustraliaDepartment of Paediatric Urology, Children’s Hospital at Westmead, Sydney Children’s Hospital Network, Department of Paediatrics and Child Health, The University of Sydney, Sydney, New South Wales, AustraliaDepartment of Urology and Paediatric Urology, Ghent University Hospital, DE Pintelaan 185, B-9000 Ghent, BelgiumIntroduction: Enuresis (or Nocturnal Enuresis) is defined as discreet episodes of urinary incontinence during sleep in children over 5 years of age in the absence of congenital or acquired neurological disorders. Recommendations: Suggestions and recommendations are made on the various therapeutic options available within a South African context. These therapeutic options include; behavioural modification, pharmaceutical therapy [Desmospressin (DDAVP), Anticholinergic (ACh) Agents, Mirabegron (β3-adrenoreceptor agonists), and Tricyclic Antidepressants (TCA)], alternative treatments, complementary therapies, urotherapy, alarm therapy, psychological therapy and biofeedback. The role of the Bladder Diary, additional investigations and Mobile Phone Applications (Apps) in enuresis is also explored. Standardised definitions are also outlined within this document. Conclusion: An independent, unbiased, national evaluation and treatment guideline based on the pathophysiological subcategory is proposed using an updated, evidence based approach. This Guideline has received endorsement from the South African Urological Association, Enuresis Academy of South Africa and further input from international experts within the field. Keywords: Enuresis, Nocturnal Enuresis, South African, Therapeutic options, Mobile Phone Applications (Apps), Treatment guideline, Expert consensushttp://www.sciencedirect.com/science/article/pii/S1110570417300681 |