Enuresis is repeated involuntary urination, typically occurring at night (nocturnal enuresis) in children age 5 and older. It can be primary, where the child has never achieved dryness, or secondary, where dryness was previously established. Causes include decreased physical development, increased nighttime urine production, inability to recognize a full bladder while sleeping, and anxiety. Diagnosis involves a medical history and physical exam to rule out underlying issues. Initial treatment focuses on lifestyle changes like proper hydration and voiding habits, as well as alarm therapy to train the child's bladder. Medications like desmopressin or anti-cholinergics may also be used, with desmopressin being