Nocturnal enuresis, also called bedwetting, is involuntary urination while asleep after the age at which bladder control usually occurs. Bedwetting in children and adults can result in emotional stress. Complications can include urinary tract infections.
Most bedwetting is a developmental delay—not an emotional problem or physical illness. Only a small percentage (5 to 10%) of bedwetting cases have a specific medical cause. Bedwetting is commonly associated with a family history of the condition. Nocturnal enuresis is considered primary (PNE) when a child has not yet had a prolonged period of being dry. Secondary nocturnal enuresis (SNE) is when a child or adult begins wetting again after having stayed dry.
Treatments range from behavioral therapy, such as bedwetting alarms, to medication, such as hormone replacement, and even surgery such as urethral dilatation. Since most bedwetting is simply a developmental delay, most treatment plans aim to protect or improve self-esteem. Treatment guidelines recommend that the physician counsel the parents, warning about psychological consequences caused by pressure, shaming, or punishment for a condition children cannot control.
Bedwetting is the most common childhood complaint. Most girls achieve bladder control by ages 4–7 and most boys by ages 4–6. By ten years old, 95% of children are dry at night. Studies place adult bedwetting rates at between 0.5 and 2.3%.
This article uses material from the Wikipedia article Nocturnal enuresis, which is released under the Creative Commons Attribution-ShareAlike 3.0 Unported License
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- Tags: alarm, bedwetting, bedwetting alarm, bladder control, Causes of enuresis, developmental delay, Nocturnal Enuresis, Primary nocturnal enuresis (PNE), Secondary nocturnal enuresis, Treatment of enuresis, urinary tract infections, urination