Question Title: Night Wetting

I am a 28 year old male that has just recently developed a problem with wetting the bed at night. During the day I find myslef going to the bathroom every hour. A year ago I developed a bladder infection that was cleared up with the help of antibiotics. A recent urinalysis turned up nothing. In addition, I have had a complete physical including blood work. I am about ten pounds overweight but otherwise in excellent physical condition. Despite all of the above I continue to wet the bed 4 or 5 times per week. I drink 8-10 glasses of water per day and try to limit my fluid intake after dinner. I am a light sleeper and generally wake while wetting. I generally wet myself shortly after going to sleep and/or just before I wake in the morning. I drink a few cups of coffee each day but have not been able to corelate this to my bed wetting. I am kind of at a loss and my doctor is not really offering much assistance. Where do I go from here?

Dear JJ,
I would go and see your primary care doctor and request a referral to a urologist and possibly a neurologist. I’m concerned you may have a neurologic condition contributing to your voiding problem. A good voiding diary with fluid intake and output needs may help identify a problem. A full history and physical by a urologist needs to be done. And if no gross problems can be seen, a full urodynamic work-up should be performed.
I think your too young to have an outlet obstruction with overflow incontinence or even a high(primary) bladder neck. Nevertheless, a urodynamic work-up with CMG should identify a bladder function problem or emptying problem(outlet obstruction)
This information is provided for general medical educational purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653-6568).

Sincerely,
HFHS M.D.-AK
*keyword:Incontinence

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