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91
Ilford Enuresis Clinic.
Dr. P. A. C. Wright, School Medical Officer in charge of the Clinic
since Dr. Pooley left in July, reports as follows for the year ended
December 31st 1957.
"This clinic, now well established, has continued to be held on
Wednesday mornings at the Ilford Public Health Offices. Again there
has been an increase in the number of new cases, and rather more of
these have come from General Practitioners than in previous years.
Total attendances show a very slight fall due to some sessions being
cancelled because of illness.

Total 79 cases
Total attendances (old and new cases) 372
No. of sessions 40
Procedure.
The procedure has remained much the same as in previous years.
Almost always the child comes with the mother, and often with his
brothers and sisters as well. On occasions an older child will arrive
alone. This is usually a good sign, often meaning the mother is now
less concerned and the child is almost better.
(a) Urine.—A morning specimen is brought by each child on every
attendance, and a routine analysis is made by the attending Health
Visitor.
(b) History of the Enuresis.—This has to be taken with some care,
for psychological factors play a large part in both causation and cure
of the complaint. Domestic upsets, new babies and starting school
seem potent factors.
(c) Family Background.—The inter-relationship between the child, his
mother, and his brothers and sisters is important.
(d) General Medical Condition.—Any organic disease has to be excluded.
If it is suspected the child is referred to the Paediatric
Specialist for his advice. Often, however, the physical examination of
a young child is not made until the second visit, when some confidence
has been gained.