According to NICE guidelines, what is the first-line treatment for primary nocturnal enuresis in children older than 5 years who wet less than twice a week?

According to NICE guidelines, the first-line treatment for primary nocturnal enuresis in children older than 5 years who wet less than twice a week is reassurance. This approach is based on the understanding that many children will eventually outgrow enuresis without the need for intervention. Providing reassurance to both the child and their parents can help alleviate anxiety surrounding the condition and offer support while they wait for natural maturation.

For children who wet less frequently, reassurance acknowledges that the issue may not be severe enough to warrant immediate medical intervention. It's important to educate families about the normal developmental aspects of bladder control and encourage them to maintain a positive and supportive environment. In contrast, other options like medication or behavioral interventions may be considered if the enuresis persists and becomes more frequent or problematic.