ABSTRACT

The most frequent urological symptom in children is wetness. Between five and ten per cent of seven-year-olds wet their beds, and up to three per cent of children of the same age have daytime wetting. In addition, up to one-third of seven-year-olds have frequent voiding and urges to void. Voiding complaints per se are far less frequent. Only one per cent of seven-year-olds complain of voiding symptoms such as dysuria and interrupted stream. Over the past two or three decades, it has become increasingly obvious that an indiscriminate approach to the wet child is far from satisfactory. A detailed diagnostic approach predominantly using non-invasive diagnostic measures should lead to a far more focused treatment strategy and a better outcome, although the level of evidence for this focused strategy is still less than impressive.