When approaching a child for the first time who presents with enuresis, it is vital to determine that both the patient and the family are in agreement that there is a problem and they are all committed to a treatment plan. If the child shows little interest or does not recognise it as a problem, then it is wise to delay treatment until that time arrives. Likewise, parents must be educated that treatment will require their involvement and patience. If the parents do not demonstrate a willingness to be involved, or are relying on shame to motivate the child, the physician must do some groundwork with the parents to ensure their support through diagnosis and treatment.

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