What age is the minimum for referring children with primary bedwetting and daytime symptoms for further assessment?

The minimum age for referring children with primary bedwetting and daytime symptoms for further assessment is 24 months. This recommendation is grounded in pediatric practice guidelines that suggest that while primary nocturnal enuresis is common in younger children, by the time a child reaches 2 years of age, it becomes important to evaluate for underlying issues if bedwetting persists, especially if accompanied by daytime symptoms.

At this age, children are generally more capable of bladder control, and persistent bedwetting beyond this point may warrant further investigation to rule out any potential medical, behavioral, or psychosocial factors. Identifying any underlying conditions early allows for timely intervention, which can help prevent complications such as increased anxiety or social difficulties as the child grows older.

In contrast, referring children earlier than this may not be appropriate because bladder control and toilet training are still developing during that time, making it more common for younger children to experience bedwetting without necessitating further medical investigation.