Nocturnal Enuresis (Bed-Wetting)
Access exceptional care for nocturnal enuresis at Montefiore Einstein Urology at the Children’s Hospital at Montefiore Einstein (CHAM). As a leader in urology, we are an academic-based referral site for the most complex and high-risk cases. For more than a century, we have been at the forefront of innovation, research and clinical care for genitourinary (GU) conditions.
Montefiore Einstein continues to make advances in the diagnosis and treatment of GU conditions. Our multidisciplinary team of specialists is passionate about uncovering diagnostic approaches and treatments that can improve outcomes.
At Montefiore Einstein Urology, you can expect compassionate research-based treatment plans that meet the highest standards for quality and safety. We are committed to ensuring your child will receive the best patient- and family-centered care in a supportive and nurturing environment.
When you want only the best for your child, turn to our dedicated providers who will develop a highly personalized treatment plan.
What Is Nocturnal Enuresis (Bed-Wetting)?
Nocturnal enuresis, also known as bed-wetting, typically occurs in toilet-trained children over the age of 5 who accidentally urinate during the night while sleeping. About 15% of 5-year-olds experience bedwetting, and this condition may sometimes continue into later childhood. Bed-wetting often resolves on its own but can be disruptive and upsetting for both children and their parents.
Causes of Nocturnal Enuresis (Bed-Wetting)
Bed-wetting has a wide variety of causes, including:
- Anatomical abnormalities of the bladder
- Co-existing health conditions, including diabetes or attention-deficit hyperactivity disorder (ADHD)
- Constipation
- Family history of bed-wetting
- Neurogenic bladder
- Overactive bladder
- Sleep conditions preventing children from waking and responding to bladder urges
- Small bladder
- Urinary tract infections (UTIs)
Sudden changes in bladder control should be promptly evaluated by a pediatrician to identify underlying causes.
Diagnosing Nocturnal Enuresis (Bed-Wetting)
Bed-wetting is diagnosed with a review of your child’s medical history and sleep and urination patterns. The urologist may also order a urinalysis test to detect UTIs, diabetes or abnormal kidney function. If an obstruction or anatomic abnormality is suspected, the urologist may order a renal bladder ultrasound to capture a more detailed picture of the bladder.
Treatment for Nocturnal Enuresis (Bed-Wetting)
Most treatments consist of strategies focused on creating awareness of the urge to urinate and building habits to encourage regular urination and prevent buildup during the night. These strategies include:
- Eating sufficient fiber to avoid constipation
- Prescription medication, typically desmopressin, to reduce the amount of urine produced by the body, which can prevent bed-wetting until the child developmentally adjusts to nocturnal urine control
- Proper hydration during the day while limiting liquids that irritate the bladder (e.g. citric acid, soda)
- Timed urination during the day to train the child to urinate at regular intervals