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학습 자료 둘러보기 →For a child with new-onset bedwetting after a dry period of 6 months or more, the priority is conservative urotherapy. Start with a structured bedtime routine that includes fluid restriction for 2 hours before sleep and scheduled voiding immediately before bed.
Assess for potential psychosocial triggers such as school stress, bullying, or family changes, as secondary enuresis often has an emotional component. A bladder diary can help track fluid intake, voiding patterns, and wet episodes to guide further intervention.
Avoid negative reinforcement or punishment for wet nights, which can worsen anxiety and the condition. Pharmacotherapy like desmopressin is not first-line; it is considered only if behavioral strategies fail after a consistent trial period.
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