Urinary Incontinence in Children (cont.)
David Perlstein, MD, MBA, FAAP
Dr. Perlstein received his Medical Degree from the University of Cincinnati and then completed his internship and residency in pediatrics at The New York Hospital, Cornell medical Center in New York City. After serving an additional year as Chief Pediatric Resident, he worked as a private practitioner and then was appointed Director of Ambulatory Pediatrics at St. Barnabas Hospital in the Bronx.
Melissa Conrad Stöppler, MD
Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
In this Article
- Urinary incontinence in children facts
- What is urinary incontinence?
- How does the urinary system work?
- What are the different types of urinary incontinence?
- How common is urinary incontinence in children?
- What causes nighttime incontinence in children?
- What causes daytime incontinence in children?
- How do you differentiate between organic and nonorganic causes of urinary incontinence?
- What is the treatment for urinary incontinence in children?
- What is the prognosis of urinary incontinence in children?
- Where can people get more information on urinary incontinence in children?
- Find a local Pediatrician in your town
What causes nighttime incontinence in children?
Any number of normal and abnormal things can cause nocturnal enuresis in children. Boys are more commonly affected than girls. Most young children who suffer from bedwetting are physically and emotionally normal. Although the exact cause is unknown, the bedwetting is believed to be the result of a number of nonorganic factors, including developmental issues, overproduction of urine, and an inability to respond to the normal physiological signals associated with bladder distension while asleep. Since bedwetting does run in families, experts believe there is a genetic disposition as well and if a parent experienced nocturnal enuresis as a child, there is a 45% risk that their child will also suffer from bedwetting. In addition to nonorganic causes, there are also some less common organic causes including infection, anatomic abnormalities, neurologic abnormalities, and endocrine abnormalities such as diabetes mellitus.
What causes daytime incontinence in children?
Common causes of daytime wetting include voluntary holding of urine, urinary tract infection, constipation, and wetting with giggling. Girls are more commonly affected than boys. Less common causes include more serious issues such as neurological causes (neurogenic bladder), urinary tract anatomic abnormalities, and diabetes. Voluntary holding of urine is the most common cause of daytime wetting in young children. This is often observed in 3- to 5-year-olds who don't want to take the time to use the toilet. They are just too busy to take a break and will often fidget, squirm, and hold on to their perineal areas. Most children grow out of this on their own as they get older.
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