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Urology (Expert Forum)
Intermittent Adult Bedwetting
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Intermittent Adult Bedwetting
by tepco, Jun 11, 2004 12:00AM
I am a very healthy, active, non-smoking 29yo male, 6'2", 185 lb. I have no history of bedwetting. About 1 yr. ago, I began having dreams at night that I have to urinate and then wake up having emptied most or all of my bladder in bed. This happens every 4-6 wks. with no regularity and at one time there was a period of about 4 months w/no episodes. It always occurs right in the middle of the night, about 3-4 hours after going to sleep. I always wake up during or right after. My wife and I have tried to discern patterns, ie: stress, diet, sexual habits, etc. but there is nothing that seems to affect it or cause it. I have no other bladder, incontinence, prostate, sexual problems.
Please try to give us as thorough an answer as possible as we have no health insurance or ability to see a local doctor.
Please try to give us as thorough an answer as possible as we have no health insurance or ability to see a local doctor.
Doctor's Answer
by Kevin Pho, MD, Jun 13, 2004 12:00AM
, Jun 13, 2004 12:00AM
There are various considerations for adult-onset enuresis (bedwetting). This can include prostate problems which can cause obstruction as well as overflow incontinence. A thorough prostate examination should be performed, and if enlarged, there are medications that can be given to shrink it.
Testing the urine should be a priority. Diseases like infection or diabetes can cause excessive nightime urination.
There are also uncommon cases of obstructive sleep apnea that can lead to nighttime urination. Often this is accompanied by loud snoring. A sleep study can be suggested to evaluate this condition. If present, a CPAP (continuous positive airway pressure) machine can be considered.
I would suggest a referral to a urologist for further opinions.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
Medical Weblog:
kevinmd_b
Testing the urine should be a priority. Diseases like infection or diabetes can cause excessive nightime urination.
There are also uncommon cases of obstructive sleep apnea that can lead to nighttime urination. Often this is accompanied by loud snoring. A sleep study can be suggested to evaluate this condition. If present, a CPAP (continuous positive airway pressure) machine can be considered.
I would suggest a referral to a urologist for further opinions.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
Medical Weblog:
kevinmd_b
Member Comments
by jackiegram, Nov 26, 2008 09:44AM
A related discussion, BATHROOM DREAMS was started.
by bravo1, Feb 25, 2009 02:14PM
A related discussion, Bedwetting (Adult) was started.
