Primary nocturnal enuresis (PNE), a biobehavioral problem affecting ap
proximately 5,000,000 children in the United States, is among the most
bothersome and frustrating disorders of childhood. Negative psychosoc
ial consequences are common, secondary to the impact of enuresis on fa
mily members and others. The enuretic child may be at increased risk f
or emotional or even physical abuse from family members and may experi
ence stress related to fear of detection by peers. These factors contr
ibute to the loss of self-esteem that the enuretic child often experie
nces. Fortunately, a number of treatments most commonly pharmacologic
or behavioral intervention - are often effective in improving or corre
cting PNE. This disorder not only can be addressed but should be addre
ssed because effective treatment benefits both he patient and the pati
ent's family.