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Pediatric Urology - Enuresis

​​​​​​​​​​​Enuresis refers to involuntary urination that occurs at night (bedwetting) or during the day. 

The symptoms can come as a result of a small bladder, urinary tract infection, stress, or developmental delays. 

In most cases, children outgrow the problem. However, an underlying medical condition may require special treatments.

Marshfield Clinic has pediatric specialists specifically trained to treat this common problem.

Nighttime Incontinence Treatments

Depending on the severity of the condition, a Marshfield Clinic physician may recommend different treatment options.

Behavior therapy
Changes in a child's behavior pattern are often very effective in treatment of this condition. Treatments may include:

  • Alarms - an alarm system can be set to go off when the bed gets wet. Repeated use of this therapy will eventually help the child respond to bladder sensations while sleeping.
  • Fluid restriction - curbing the amount of liquid a child drinks will reduce the amount of urine produced by the kidneys.

Medications

  • DDAVP (desmopressin acetate) - can be prescribed to decrease the amount of urine produced by the kidneys at night.
  • Imiparmine - an anticholinergic is found to be useful in treatment of this condition.
  • Bladder relaxant medications - Oxybutinin, tolterodine

Daytime Incontinence Treatments

Behavior Therapy

  • Timed voiding (trips to the bathroom) to help the child understand that urine is continuously coming into the bladder.
  • Voiding when the urge first presents - taking time to get to the bathroom.
  • Voiding to completion - taking the time to empty.
  • Regulating bowel function - making sure that constipation isn't an issue.

Medications

  • Anticholinergics - Bladder relaxation medications.
  • Stool softners to prevent constipation.​​
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