The term bed-wetting is referred to the medical term of inability to control bladder function at an age when such function should be obtained. Bladder control is a developmental acquired function, which usually is acquired by the age of three. Because of its developmental nature, disorders are declared only after age five years and only if the child is without any established diagnosed  “organic” factors.

The majority of the children do not wet their beds at the age of five, yet large epidemiological surveys have indicated that 5% of the children of these population samples have shown bed wetting even at the age of 10 years!!!. Despite the decreasing numbers of “bed wetters”, up to 2% of the children will not stop after 18 years of age and continue into their adulthood years despite all therapeutic

interventions !!! .

 

Leading factors in Bed Wetting

Its seems evident that the malfunctioning of the urogenital system is the cause of Bed Wetting, yet the exact cause of that disorder is still unknown. In some cases, an excessive production of urine has been established with no explanation as to the cause for the disorder. In different cases, a too small bladder has been attributed to the wetting, a certain genetic load has been found, but again without lending an explanation to the “wet phenomenon”. In most cases, no link to strees has been detected.

 

Treatment of Bed Wetting

Prior to treating bed wetting, a differential analysis should be performed in order to eliminate "organic" and structural abnormalities of the bladder and urinary tract as well as possible psychological stress. Only after establishing these factors, initiation of treatment should commence by either

 

·        Attaching a special designated alarm bell which buzzes after the child starts to wet his bed.

 

·        Behavioral oriented psychological short interventions focused at establishing a reward-system for the child recruiting his motivational drives.

 

·        Hormonal treatments. 

 

It seems important to indicate again that despite all psychological, medical or alarm interventions, 5% of the children were found to wet their beds at the age of 10 years.

 

 

Advanced treatment for Bed wetting

Novel understanding of the brain’s circuitry and function has lead to better understand the leading factors involved in Bed Wetting and thus further develop a new, scientific, biophysical non-invasive, accurate and reliable method (BDTAK) to diagnose the disorder accurately and resolve the disturbance. The patient performs the test autonomously, at his home setting.

 

Moreover, the BDTAK enables accurate biophysical monitoring of differential efficacy of the therapy employed leading to better medication adjustments. BDTAK has been tested with patients within the wide age span for different disorders                 

 

 

 

Frequently asked questions

At what age should a child start treatment for Bed-Wetting?

What are the psychological and emotional consequences of Bed-Wetting?

Are punishments useful for stopping Bed-Wetting?

Is Bed-Wetting connected to deep sleep

Is restriction of soft drink and water drinking in the afternoon, helpful to stop Bed-Wetting?

Is the frequency of “wet nights” indicative as to the child's chances to stop wetting?

Should we the parents tell our child that we wet our beds in the past till adulthood?

Is using adult size diapers harmful to the child

 

 

 

Dr. A. Kessler, writing this page is a psychologist and a neuropsychologist in the “Clinic of Advanced Psychology”, engaged in treating and consulting patients as well as in clinical research, a member of the Israeli Psychological Association, an affiliate member of the APA and a member of the TIC consortium.