A.B., a healthy and thriving boy aged 8 years, had never been able to achieve complete nighttime dryness since being potty trained at age 3 years. The boy mentioned that he occasionally recalled experiencing a dry night or two, but it had not been sequential or predictable.
A.B. was a Boy Scout and was preparing for an overnight trip to the organization’s annual jamboree in three months. The child was highly motivated to stop his bedwetting before his trip. To date, the only treatment modality tried was stopping beverages after suppertime. The boy’s parents reported that he was a scant drinker of beverages during the daytime, with the majority of his fluid intake occurring right after he arrives home from school at 4:00 p.m. A.B. was also an infrequent daytime voider and reported going to the restroom only once a day during school hours. He tended to have constipation, producing one to two painful bowel movements per week. The boy’s father was also was a bedwetter until age 7 years.
A.B. systematically and regimentally followed all of the clinician’s recommendations of robust daily hydration, a timed voiding schedule, and regular post-meal daily bowel eliminations. He was followed up sequentially at three-month intervals and noted to have progressive and sustained nocturnal continence. He was given effective tools to continue this pattern to successfully resolving his nocturnal enuresis. At his most recent visit, A.B. reported great confidence and satisfaction that he was able to attend the Boy Scout jamboree without incident.
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Coleen Weber Rosen DNP, APNP, FNP-C, is a family nurse practitioner specializing in pediatric urology at the Children’s Hospital of Wisconsin in Milwaukee. Teri Kaul PhD, MSN, APRN-BC, is the director of the Graduate Nursing Program and an associate professor at Concordia University, Mequon, Wisc.
