In the case of enuresis with no daytime wetting, what is often the best approach?

In cases of enuresis, especially when it presents without daytime wetting, reassurance is often considered the most appropriate initial approach. Enuresis, particularly nocturnal enuresis (bedwetting), is common in children and often resolves spontaneously as they mature. Many children may experience enuresis as a normal part of childhood development.

Providing reassurance to both the child and their parents helps to alleviate concerns and anxiety related to the condition. Since the absence of daytime wetting suggests that the child has some bladder control during waking hours, this typically indicates that the issue is more likely developmental rather than a result of underlying pathology.

While other treatments, such as desmopressin or bladder training, can be effective for more persistent cases or those that involve daytime wetting, they may not be necessary or the most effective first step when daytime control is generally intact. A referral for therapy may be reserved for more complex cases or when reassurance and simple strategies have not brought about improvement over time.