Bedwetting or enuresis can be a major problem for children and is the most common childhood urologic problem. Bedwetting is found more commonly in boys than in girls. Bedwetting is never done on purpose or due to laziness on the child's part.
There are two types of bedwetting-
► Primary enuresis- Primary bedwetting refers to bedwetting that has been ongoing since childhood without a break. A child with primary enuresis has never been dry at night for a significant length of time.
► Secondary enuresis- Secondary enuresis is bedwetting that re-starts after the child has been dry at night for at least six months.
Majority of children learn bladder control between the ages of 2-4 years. By the age of 10, only one in 15 still wet the bed. Even in adulthood 1 in 100 still suffer from the problem.
An American study found prevalence of bedwetting of 6.21% in boys compared with 2.51% in girls. There is also a strong genetic aspect to bedwetting, as a large British study found a significantly higher likelihood of bedwetting if a parent was a bedwetter.
Most often, bedwetting is not a sign of any medical or emotional issues. It is often due to a maturational delay in the development of bladder muscles and the ability of the bladder to withstand the pressure of a large urine volume. Only 5-10% of bedwetting cases are due to underlying medical conditions. However, if bed-wetting continues beyond the age of 6-7 years, it is necessary to consult a doctor.
Bedwetting can be very stressful for families. Children can feel embarrassed and guilty about wetting the bed and anxious about spending a night at some other place. Some parents may be very critical putting too much pressure on the child. Parents may also feel helpless, but providing emotional support and reassurance can help your child feel better until the problem resolves.
Latest Publications and Research on BedWettingCan Seasons be an Etiologic Factor for Monosymptomatic Nocturnal Enuresis? - Published by PubMed
Relationship between sleep patterns, sleep problems, and childhood enuresis. - Published by PubMed
A Danish population-based cohort study of desmopressin use in adults with nocturia or nocturnal enuresis. - Published by PubMed
A prospective cohort study of biopsychosocial factors associated with childhood urinary incontinence. - Published by PubMed
Desmopressin 120 mcg, 180 mcg, 240 mcg: The right treatment for the right patient. - Published by PubMed