24 Case 2: Overactive Bladder and Enuresis Treatment in a 9 year old boy Objectives After completing this chapter, you will be able to: 1. Understand the impact of persistent wetting on quality of life 2. Implement a teaching plan for 9-year-old boy and his parents 3. Compare and contrast anatomic and physiological characteristics of the lower urinary tract in children 4. Relate the assessment findings to the child’s lower-urinary tract status. 5. Identify various factors associated with OAB, daytime incontinence and bedwetting 6. Outline the therapeutic regimen for OAB / Daytime Urinary Incontinence (DUI) and bedwetting. Keywords: OAB, bedwetting, non monosymptomatic, flowmeter, ultrasound, bladder diary, DUI Background David is a 9-year-old boy who was diagnosed with daytime incontinence and bedwetting At home and at school He is the middle child of three siblings. He has a 12-year-old brother and a 6-year-old brother. He lives with his mother and father, out in the countryside. He and his family have a dog and some chickens. His father is a teacher at a local high school and his mother is a childcare worker.