Parental Experiences With Nocturnal Enuresis: Treatment Use, Dissatisfaction, and Psychosocial Impact in a Large Metropolitan Pediatric Urology Practice.
Publication/Presentation Date
4-1-2026
Abstract
OBJECTIVE: To characterize parental perspectives on nocturnal enuresis (NE), including awareness of therapies, psychosocial impact, and openness to neuromodulation, and to compare survey responses for monosymptomatic (MNE) and nonmonosymptomatic nocturnal enuresis (NMNE).
MATERIALS AND METHODS: An anonymous cross-sectional online survey was distributed to parents and guardians of children with NE. The survey assessed demographics, respondent and child concern, treatment awareness and use, and openness to novel interventions. Descriptive statistics and comparative analyses between MNE and NMNE were performed.
RESULTS: A total of 261 responses were received. Most respondents were parents or guardians of boys (68.2%) aged 5-10 years (56.7%). Respondent concern was high (median 8/10), as was motivation to pursue treatment (median 10/10). Among 184 respondents providing treatment histories, 61.4% reported trying a single modality (41 alarms, 21 medications, 51 behavioral), 32.1% reported two, and 6.5% reported three. Dissatisfaction was common, and free-text responses emphasized psychosocial consequences. NMNE was most common in 5-10-year-olds, whereas MNE predominated among older children (p < 0.001). A greater proportion of NMNE patients were male (72.8% vs. 54.5%, p = 0.010). Perception of the child's concern was significantly lower among NMNE (median 5/10 vs. 7/10, p = 0.039). Awareness of bedwetting solutions was not significantly different between respondents of children with NMNE versus MNE (61.8% vs. 75.2%, p = 0.051).
CONCLUSIONS: Parents and guardians of children with NE report high concern and motivation but frequent dissatisfaction with current therapies. Families remain receptive to innovative, technology-based interventions, underscoring opportunities for further clinical adoption and research.
Volume
45
Issue
4
First Page
765
Last Page
773
ISSN
1520-6777
Published In/Presented At
Press, B., Chu, E., Aponte, V., Barroso, U., Jr, & Kirsch, A. (2026). Parental Experiences With Nocturnal Enuresis: Treatment Use, Dissatisfaction, and Psychosocial Impact in a Large Metropolitan Pediatric Urology Practice. Neurourology and urodynamics, 45(4), 765–773. https://doi.org/10.1002/nau.70260
Disciplines
Medicine and Health Sciences | Pediatrics
PubMedID
41810582
Department(s)
Department of Surgery, Department of Pediatrics
Document Type
Article