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Urology (Expert Forum)
stiil wet during day
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.
stiil wet during day
by ruth__0__0, Mar 09, 1999 12:00AM
i have a 6 year old son who still wets himself night and day (several times during the day) he did try the bed weting mat and after 3 months of trying he did stay dry at night for about 6 weeks(but he would still wet his pants slighty then go to the toilet)then went back to old habits.he says he gets no feeling he has to go until he gets a drop out of his penis
he has had a renal ultrasound .this showed two simple cysts in his right kidney and that his bladder still had about 40 mls in it after voiding .a xray of his spine showed slight flattening of the internal aspects of the pedicles and increased interpedicular distances in the L3-L5 with L5 BEING 3.5 CM COULD THIS BE THE CAUSE of his problems or what else could cause this type of problem. what would you suggest as the next course of action
Doctor's Answer
by hfhs M.D.-AK, Mar 09, 1999 12:00AM
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Dear Ruth,
Enuresis is defined as an involuntary discharge of urine but is imprecisely used to describe bed wetting. Approximately 15% of normal children still wet the bed at age 5 and this gradually becomes more of a concern once the child enters school. It is not until the age of 7 that dryness is expected by your child’s peers and a work-up should be started (some doctor will start as early as age 4). With a spontaneous resolution rate of about 15% per year, I give my patients the 15,5,1 rule. 15% of children are wet at age 5, 5% are wet at age 10, and 1% are wet at age 15. Those that are wet each year, about 15% will spontaneously dry up.
Children such as your son who have never been completely dry for a sustained period of time are termed primary enuretics. Unfortunately, the development of urinary control is not always final with approximately 25% of those who obtain dry experiencing a period of relapse.
As a group, children with enuresis are biologically and physiologically normal and similar to those other children who have obtained bladder control. A variety of theories have been proposed to explain enuresis including a developmental delay, sleep abnormalities, genetic factors and stress. It is not likely that any one theory will explain each patient, but usually a combination.
I don’t think your sons spine film helps explain your sons enuresis, considering you have not volunteered any other urinary symptoms other than night time bed wetting. If you child is continent during the day and seems to be developing normally, I would give him more time and encouragement. More than likely, his bed wetting will resolve spontaneously. If it does not, I would seek the help of a pediatric urologist for a work-up, possible medication (DDAVP) or even behavioral modification.
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:Enuresis
