Vande Walle recommends managing a pediatric patient with enuresis using the data from the patient diary. The authors are from Ghent University Hospital, Aarhus University Hospital, Boston Children's Hospital and University Children's Hospital Kiel.
Patient selection: pediatric from 5 to 18 with enuresis
Clinical findings suspicious for nocturnal polyuria:
(1) absorbent underpants totally soaked overnight
(2) urine soaking through the bedsheets
(3) multiple episodes of wetting in one night
(4) early wetting (first third of the night)
(5) large volume of urine at the first void in the morning despite wetting overnight
(6) low daytime fluid intake with the majority of intake in the late afternoon and evening
(7) large total volumes of urine
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