Nocturnal Enuresis (Bedwetting) and Urinary Issues in Children Program
If a child who has just turned five wets the bed at night, this is defined as nocturnal enuresis. Approximately 15% of five-year-old children experience bedwetting, making it a common issue in our country. Nocturnal enuresis is classified as enuresis nocturna, while both daytime and nighttime bedwetting is referred to as enuresis diurna. Nocturnal enuresis can be categorized into simple and complicated types. In the simple type, bedwetting is the only symptom. In the complicated type, symptoms such as sudden urgency, frequent urination, daytime incontinence, and chronic constipation accompany bedwetting.
Primary enuresis refers to the complete absence of bladder control since birth, while secondary enuresis refers to the onset of bedwetting after a six-month dry period. The definition of enuresis is applied to children over five years of age, with its prevalence decreasing with age. Enuresis is more common in socioeconomically disadvantaged families and large households. It is generally observed in boys up to the age of 10-11.
Daytime bedwetting and urinary incontinence issues in childhood are fundamentally categorized into three subgroups: neurological, non-neurological, and anatomical. Neurological causes include congenital spinal defects (such as spina bifida) and trauma. In the non-neurological group, the bladder may be overactive or underactive, with many of these children experiencing disruptions in the coordination between the bladder and the muscles that control urination. Issues related to urinary incontinence in these children may include frequent urination, difficulty holding urine, and intermittent urination. Urination problems associated with congenital issues fall into the anatomical group, which may include congenital penile anomalies (such as epispadias) or bladder anomalies (such as bladder or cloacal exstrophy).
Our team provides comprehensive, reliable, and personalized treatment and monitoring services through a multidisciplinary approach, collaborating across various specialties to address enuresis and urinary incontinence issues.
