This seminar introduces the 'Three Systems' as a means of understanding bedwetting, with a focus on a child-orientated, evidence-based approach to treatment. It includes recommendations from the National Institute for Health and Care Excellence (NICE), explores ways of applying this model to clinical practice and troubleshooting potential issues this might raise.

Course objectives 

  • To explain the different causes of night time wetting and the importance of assessment in diagnosis
  • To improve knowledge of the treatments available and when to use them
  • To provide an understanding of relevant NICE guidance.

Evidence of attendance and certification will be provided in order to support CPD and NMC revalidation for nurses

Course tutor

Dr Chinnaiah Yemula MBBS, DCH, MD, MRCPCH, Consultant Paediatrician


09.00-09.15 Registration and refreshments

09.15-09.45 Introduction to the day

  • Information about ERIC
  • Interactive quiz

09.45–10.30 Healthy Bowels & Bladders

  • Overview including anatomy and physiology and the relationship between bladders and bowels
  • The role of constipation in night time wetting
  • The role of daytime bladder problems in night time wetting

10.30-11.15 Setting the scene

  • Definition of nocturnal enuresis
  • Prevalence of nocturnal enuresis
  • ALSPAC Study
  • Impact on children
  • The importance of maintaining a child focused approach

11.15-11.30 Refreshments

11.30-12.00 Parental support

  • Typical strategies employed by parents (e.g. lifting, fluid restriction) and case examples
  • Analysis of useful strategies

12.00-13.00 The Three Systems Model

  • An outline of the model as a means to understanding nocturnal enuresis
  • Assessment of each system
  • Looking at clinical implications
  • Evidence base

13.00-13.45 Lunch

13.45–14.45 Enuresis alarm treatment 

  • Evidence base
  • Monitoring progress
  • How the alarm works and demonstration
  • Advantages and disadvantages of the alarm

14.45–15.15 Desmopressin treatment

  • Evidence base
  • How to use desmopressin
  • Advantages and disadvantages of desmopressin

15.15-15.30 Refreshments

15.30–16.00 Psychoeducation

  • How best to educate children and parents about bedwetting problems
  • How ERIC can help - website, leaflets, pathway

16.00-16.30 Workshop and case studies

16.30 Evaluation and seminar ends

Transport to the venue

By car

Travelling from North/West: Donegal, Derry, Coleraine, Ballymena
From M2 into Belfast
As you approach Belfast stay in the left hand lane. At Junction 1 take the exit towards the Docks and the Fortwilliam Roundabout.

The slip road will lead you to the Fortwilliam Roundabout, get into the right hand lane marked A2 (do not follow signs to the City). Follow the roundabout round to the right, taking the 3rd exit A2 heading to the Shore Road. Continue on down the slip road to the junction, keeping now in the left lane. You will see high rise flats in front of you, turn left at this junction.

You are now on the Shore Road. Continue straight ahead in the left lane until you pass Asda on your left and Lidl on your right. Continue straight along this road, which is now the York Road, past the new Grove Leisure Centre on your right.

You will pass the old Grove Leisure Centre, a church and police station all on your right. Continue straight ahead until the next junction with traffic lights. Continue straight through the lights until you come to the next major junction with traffic lights, keep to the right hand lanes to turn right as you approach the junction. Take the first right at this junction, just after Iceland.

You are on Brougham Street; continue past KFC on your right and Cityside (Yorkgate) Shopping Centre on your left, up to the traffic lights in the left hand lane. Drive straight through the traffic lights onto Duncairn Gardens. NICVA is an almost immediate right turn into North City Business Centre.

Travelling from South/West: Craigavon, Newry, Castlewellan, Dundalk, Dublin
From M1 into Belfast
As you approach Belfast stay in the centre lane, driving along the underpass on to the Westlink/A12. Continue along the Westlink in the middle lane for about two miles.

The lane to your left will lead off to the "City Centre (Grosvenor Road)", you should continue straight ahead. You are now in the left hand lane. Continue in this lane towards signs for "The North (M2) (M3) Airports, Docks". Remaining in the left lane, traffic will merge from your left forming four lanes. Make your way into the farthest lane on your left. Stay in this lane for "Docks York Street", and turn immediately left at the next traffic lighted junction.

Cityside (Yorkgate) Shopping Centre will be to your left, drive past this taking the left slip road at the corner and next junction, on to Brougham Street. You will see a car wash and Iceland on the opposite corner, a little way up the road KFC will be to your right. Driving past Cityside (Yorkgate) Shopping Centre on your left, continue up to the traffic lights keeping in the left hand lane and straight through the traffic lights onto Duncairn Gardens. NICVA is an almost immediate right turn into North City Business Centre.

Travelling from South / East: Bangor, Holywood, Newtownards, Ards Penninsula etc
From M3 into Belfast
As you approach Belfast on the M3, follow signs for the M1 / Westlink. At the slip road off the M3 towards the Westlink, keep in the right hand lane as you approach the traffic links. Continue through the lights, keeping in the lane, as you approach the next set of traffic lights at the junction of York Road and the Westlink. Follow the lane round to the right, through the traffic lights. You will pass the entance to Cityside (Yorkgate) shopping centre on your left.

At the next set of traffic lights, take the slip road off to the left. You are now on Brougham Street; continue past KFC on your right and Cityside (Yorkgate) Shopping Centre on your left, up to the traffic lights in the left hand lane. Drive straight through the traffic lights onto Duncairn Gardens. NICVA is an almost immediate right turn into North City Business Centre.


NICVA has a number of free parking spaces available for those attending events. Unfortunately these can't be reserved and are available on a first come basis. NICVA's spaces are clearly marked and we would ask that visitors only use spaces allocated to NICVA when attending an event. Parking is also available on Duncairn Gardens and surrounding areas within close walking distance.

By train

Five minutes walk from York Street train station.

Payment information

The cost of the course is £165 per person. Lunch and refreshments are provided. Fees must be paid or invoiced before the start of the course.

Payment by card

At the checkout, make sure you enter the address that your card is registered to.

Payment by invoice

If you need us to send your organisation an invoice, the course fee is £165 per person. You must obtain consent from your finance department prior to your booking and supply us with the necessary purchase order number. Please enter all your details including the invoicing address confirmed by your finance department; we'll then book your place on the course and send an invoice to your finance department directly.

Cancellation and transfer policy

If written notification is received 30 days before the course, we will issue a refund. We regret that no refunds can be made on bookings cancelled less than 30 days before the course. A colleague may attend in your place rather than forfeit the full course fee.

ERIC reserves the right to cancel the course. In the unlikely event of cancellation by ERIC, course fees paid will be refunded in full.

If you need to transfer from one course to another, you can do so up to 30 days before the event, providing the course transfer is within the same financial year. We can only transfer you once per booking and if you cancel your booking after transferring, the full course fee is due.