Night wetting and soiling — OSCE

Objectives

1. Open without blame and stop punitive toileting. ^[1]
2. Classify primary MNE with retentive encopresis and explain overflow. ^{[2] [11]}
3. Offer a stepped plan: bowel clearance/maintenance, alarm for cure, desmopressin for camp with safety. ^{[4] [5] [6] [9]}
4. Safety-net red flags and review. ^{[1] [2]}