Problems with enuresis management—A personal view

• It is important to subdivide enuresis according to the presence of daytime symptoms; • Voiding charts are crucial in the primary evaluation of the enuretic child; • All children with enuresis need to be screened for behavioral or psychiatric issues; • Concomittant daytime incontinence needs to be successfully treated before addressing the enuresis; • Concomittant constipation needs to be successfully treated before addressing the enuresis; • Urotherapy is a first-line treatment against enuresis. In this review I will argue that much of what we do with these children is based more on experience and well-meant but poorly supported assumptions than on evidence. Some advice and therapies are probably ineffective whereas for other treatments we lack reliable predictors of treatment response. More research is obviously needed, but awaiting new results enuresis management could be substantially simplified.