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Night Time Incontinence (Nocturnal Enuresis)

                                          

Night Time incontinence can occur for a variety of reasons, including increased urine production while asleep, inability to store enough urine through the night and unstable bladder contractions.

At around four or five years old, most children gain control of urine at night. However, bed wetting may still occur in 15% of children six years old. This can occur for a variety of reasons, including increased urine production while asleep, inability to store enough urine through the night and unstable bladder contractions. Bed wetting will usually subside at a rate of 10% per year as children grow towards adolescence. During this period of time, there are treatments that we can provide to help control the problem.

Non-Invasive Treatments

Behavior Changes and Medications

Night Time Incontinence is best managed with a combination of behavioral changes in conjuction with medications. The good news is that patients will invariably grow out of this condition and that there is rarely a serious underlying problem.

Behavioral Changes: Decreasing fluid intake later in the day, controlling for underlying constipation, and use of a “bed alarm.”

Medications: Desmopressin Acetate (DDAVP) and/or Tofranil (Imipramine) are two of the primary medications in managing Night Time Incontinence.