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
  • To increase confidence in managing complex cases

Course tutor

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

Programme

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 and recent advances in pathophysiology

  • 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 First line treatments - Alarm & Desmopressin

  • Evidence base
  • How the alarm works and demonstration
  • Advantages and disadvantages of the alarm
  • How to use desmopressin
  • Advantages and disadvantages of desmopressin

14.45–15.15 Psychoeducation

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

15.15-15.30 Refreshments

15.30-16.45 Workshop 

  • How to manage complex cases, including treatment resistance and children with additional needs

Transport to the venue 

See Anglia Ruskin University website for full details and maps

Train and coach

Trains run frequently between London (Kings Cross or Liverpool Street), Birmingham etc and Cambridge. The venue (Anglia Ruskin University) is a 20-minute walk from the train station. Alternatively, you can catch the Busway A bus to The Busway Parkside (NW-Bound), which is a seven minute walk to the venue

National Express coaches stop at the Cambridge Coach Station on Parkside, a five-minute walk from the venue. 

Bus

Most local services (Stagecoach buses) stop at Drummer Street bus station which is a 15 minute walk from the venue.

Driving and Parking

Cambridge is close to the A1 for north-south journeys, and the A14 and A47 for east-west routes.

It is recommended that you use the Park and Ride service if you’re travelling by car. There are five park and ride bus routes, two of which (Milton and Newmarket Road) stop at the Grafton Centre, East Road, opposite the venue.

The park and ride costs £3 for a day return ticket. Group Park and Ride tickets are also available for up to five people for £8.50. Please check the Cambridge park and ride website for more information before travelling.

There is no parking at the venue but the Queen Anne and Grafton Street multi-storey car parks are both five minutes’ walk away and there is a short-stay car park opposite the venue on Adam and Eve Street. You may want to check charges in advance before using these car parks.

Payment information

The cost of the course is £10 per person. Lunch and refreshments are provided. Fees must be paid before the start of the course.

Payment by card

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

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.

Ferring Pharmaceuticals This course is sponsored by Ferring Pharmaceuticals.