Pattern of enuresis diagnosis and management by general practitioner in Indonesia

Background: General practitioners (GP) have a major role in diagnosing bedwetting, especially in primary care. Despite the high prevalence, the professional training of doctors in diagnosing and managing enuresis is often minimal, which can make patient care to be not optimal. This study aimed to describe the pattern of enuresis diagnosis and management at primary level by GPs In Indonesia. Methods: This study is a cross-sectional study conducted using an online survey distributed from March 2021 until September 2021. The inclusion criteria in this study are general practitioners registered in the Indonesian Doctor Association. The survey contains several questions describing the general practitioners' general experience in treating pediatric patients and treating enuresis. The data was then compiled and presented as descriptive data. Result: Out of 584 GPs contacted, 183 responses were analyzed. The majority (70.49%) had less than five years of experience. Most GPs (95.08%) treated pediatric patients, with 44.26% having experience treating enuresis. Diagnosis primarily involved history taking and physical examination (70.37%). Only a minority used special questionnaires or bladder diaries. Treatment often involved lifestyle changes (42.05%), alarm therapy (23.86%), or referrals to specialists (50.82%). Conclusion: There are gaps in the diagnosis and management of enuresis among Indonesian GPs. Enhanced training and adherence to standardized guidelines could improve care for children with enuresis in Indonesia.