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.

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 & World Bedwetting Day
  • 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

13.45–14.30 Enuresis alarm treatment 

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

14.30–15.15 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 Case studies

Transport to the venue

Train and coach
Central and Charing Cross Railway Stations are both a 10 minute walk and Queen Street Railway and Buchanan Street Coach Station are both a 15 minute walk. All are approx. 5 minutes by taxi.

Cowcaddens and Buchanan subway stations are both a 10 minute walk.

Frequent bus routes operate along Bath Street and the adjacent Sauchiehall Street.

Q-Park multistorey car park adjacent to Robertson House.

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.