ICD-11 Criteria for Elimination Disorders (Enuresis 6C00 )
Elimination disorders include the repeated voiding of urine into clothes or bed (enuresis) and the repeated passage of faeces in inappropriate places (encopresis). Elimination disorders should only be diagnosed after the individual has reached a developmental age when continence is ordinarily expected (5 years for enuresis and 4 years for encopresis). The urinary or faecal incontinence may have been present from birth (i.e., an atypical extension of normal infantile incontinence), or may have arisen following a period of acquired bladder or bowel control. An Elimination disorder should not be diagnosed if the behaviour is fully attributable to another health condition that causes incontinence, congenital or acquired abnormalities of the urinary tract or bowel, or excessive use of laxatives or diuretics.
6C00 Enuresis
Enuresis is the repeated voiding
of urine into clothes or bed, which may occur during the day or at night, in an
individual who has reached a developmental age when urinary continence is
ordinarily expected (5 years). The urinary incontinence may have been present
from birth (i.e., an atypical extension of normal infantile incontinence), or
may have arisen following a period of acquired bladder control. In most cases,
the behaviour is involuntary but in some cases it appears intentional. Enuresis
should not be diagnosed if unintentional voiding of urine is due to a health
condition that interferes with continence (e.g., diseases of the nervous system
or musculoskeletal disorders) or by congenital or acquired abnormalities of the
urinary tract.
Inclusions:
- Functional enuresis
- Psychogenic enuresis
- Urinary incontinence of nonorganic origin
Exclusions:
- Stress incontinence (MF50.20)
- Urge Incontinence (MF50.21)
- Functional urinary incontinence (MF50.23)
- Overflow Incontinence (MF50.2)
- Reflex incontinence (MF50.24)
- Extraurethral urinary incontinence (MF50.2)
6C00.0 Nocturnal enuresis
Nocturnal enuresis refers to repeated voiding of urine into clothes or bed that occurs only during sleep (i.e., during the night) in an individual who has reached a developmental age when urinary continence is ordinarily expected (5 years). The urinary incontinence may have been present from birth (i.e., an atypical extension of normal infantile incontinence), or may have arisen following a period of acquired bladder control. In most cases, the behaviour is involuntary but in some cases it appears intentional.
6C00.1 Diurnal enuresis
Diurnal enuresis refers to repeated voiding of urine into clothes that occurs only during waking hours in an individual who has reached a developmental age when urinary continence is ordinarily expected (5 years). The urinary incontinence may have been present from birth (i.e., an atypical extension of normal infantile incontinence), or may have arisen following a period of acquired bladder control. In most cases, the behaviour is involuntary but in some cases it appears intentional.
6C00.2 Nocturnal and diurnal enuresis
Nocturnal and diurnal enuresis refers to repeated voiding of urine into clothes or bed that occurs both during sleep (i.e., during the night) and during waking hours in an individual who has reached a developmental age when urinary continence is ordinarily expected (5 years). The urinary incontinence may have been present from birth (i.e., an atypical extension of normal infantile incontinence), or may have arisen following a period of acquired bladder control. In most cases, the behaviour is involuntary but in some cases it appears intentional.
6C00.Z Enuresis, unspecified
REFERENCE:
International Classification of Diseases Eleventh Revision (ICD-11). Geneva: World Health Organization; 2022. License: CC BY-ND 3.0 IGO.
https://creativecommons.org/licenses/by-nc-nd/3.0/igo/
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