Nocturnal enuresis
ICD-10 N39.44 is a billable code used to indicate a diagnosis of nocturnal enuresis.
Nocturnal enuresis, commonly known as bedwetting, is a condition characterized by involuntary urination during sleep. It is most prevalent in children but can also occur in adolescents and adults. The etiology of nocturnal enuresis can be multifactorial, including genetic predisposition, developmental delays, and psychological factors. In children, it is often associated with a delay in bladder maturation or a deep sleep pattern that inhibits the arousal response to a full bladder. In adults, nocturnal enuresis may be linked to underlying medical conditions such as urinary tract infections, diabetes mellitus, or neurological disorders. Diagnosis typically involves a thorough patient history, physical examination, and may include urinalysis to rule out infections or other urinary disorders. Treatment options vary based on the underlying cause and may include behavioral interventions, bladder training, and pharmacotherapy. Understanding the complexities of nocturnal enuresis is crucial for effective management and coding.
Detailed patient history, including family history of enuresis, developmental milestones, and psychosocial factors.
A child presenting with bedwetting after a recent stressful event, such as parental divorce.
Consideration of developmental delays and the impact of sleep disorders.
Comprehensive evaluation of urinary function, including bladder capacity and voiding patterns.
An adult patient with nocturnal enuresis presenting with urinary tract infections.
Assessment for underlying urological conditions such as urethral stricture or bladder dysfunction.
Used to assess bladder function in patients with nocturnal enuresis.
Document the reason for the urodynamics study and any findings.
Urology specialists should ensure comprehensive evaluation of urinary function.
Nocturnal enuresis specifically refers to involuntary urination during sleep, while urinary incontinence can occur at any time and may be due to various causes, including stress or urge incontinence.
