Within the area of childhood incontinence, nocturnal enuresis is otherwise known as bedwetting and is common both in typically developing children as well as children with additional needs.
Attaining night time continence is a normal developmental process, with significant age variation. There is a strong genetic tendency to bedwetting.
Enuresis is common and generally causes no lasting problems. Treatment should usually not be started before age 6 years, as there is a high rate of spontaneous resolution.
The presence of daytime, lower urinary tract symptoms requires a different approach. Alarm therapy is the most effective treatment modality available in children older than 6 years of age but requires motivation of both child and parent.nary paediatric continence clinic, VCRC offers a ten (10) week enuresis (bedwetting) program. This service is available for private and NDIS funded clients. We offer a full assessment and treatment using the bell and pad alarm. The latest body worn alarms may be appropriate for some children.

Children must be six (6) years or older to start using a bed-wetting alarm. A refundable deposit and photo identification is required from the parent or carer prior to possession of the bell and pad alarm.

Children under the age of six (6) can be seen in the clinic and alternative approaches to alarm therapy can be considered.

Lesa Miller is a Continence Nurse Specialist at the Victorian Continence Resource Centre. Her extensive and varied continence career focuses on working in the community with families who need tangible continence management programs to assist their children in the acquisition of independent toileting skills. She has been responsible for the development of community based nocturnal primary enuresis programs (bedwetting) for children. Lesa has also been instrumental in the development and NDIS transition pathway for children with requiring continence assessment and management programs who have complex and additional needs.