Enuresis/nocturnal enuresis (bedwetting)

Enuresis (the involuntary discharge of urine after the age at which one normally should be able to control wetting) is wetting that occurs when there is no structural problem in the urinary tract.  Nocturnal enuresis is commonly referred to as bedwetting.

Although frustrating, involuntary wetting is many times not a symptom of a serious problem for the pediatric patient.  However, a physical examination, a conversation involving the healthcare provider, the parent and the child, and possible medical tests will determine whether there is a physical cause for the wetting problem and the appropriate treatment plan.  

Preparing to see the doctor

1. Voiding diary
2. Prepare your child

Talk to your child.  Let the child know the doctor will be examining his abdomen, genitalia, anus, and lower extremities.  Let the child know an ultrasound of the abdomen may also be done.  Reassure the child that the ultrasound is not painful.

If no structural problem is found in the urinary tract, an enuresis treatment program will be suggested.  Procedures and devices that may help your child outgrow enuresis more quickly:

• Alarm clock set for regular nighttime arousals
• Bedwetting alarm
• Constipation control
• Dry bed/dry pants training
• Elimination diet
• Intermittent catheterization of the bladder
• Limitation of liquid consumption
• Medication
• Positive reinforcement
• Psychological techniques
• Therapy - child/family
• Vaginal creams

Remember . . . As a child's body matures, enuresis/bedwetting normally stops.  It is important to remember that children's bodies mature at different rates.  Patience and understanding are vital to overcoming enuresis/bedwetting without damage to the child's self-esteem.  Punishment and anger are detrimental.

Protective and comfort measures - moisture-proof mattress covers, nightlights, positive reinforcements, etc. - help both parent and child deal with bedwetting.