Children learn urinary control between the ages of 1-5, with an average age of 2.5 years. After the age of 5, urinary incontinence while sleeping or awake during the day is one of the common problems. While the child's urinary incontinence only while sleeping does not indicate a serious problem, urinary incontinence while awake may indicate different underlying problems. Urinary incontinence while awake may be an indicator of pathologies related to the function of the urinary bladder or anatomical problems in the urinary tract.
Anatomical disorders are often congenital and may require surgical correction. In functional disorders, problems such as frequent urination, wetting one's underwear until one has time to urinate, sudden urge to urinate, sitting on the floor with one's legs crossed to hold one's pee, and not being able to reach the toilet can be observed.
Patients with functional disorders may have a problem of urinary incontinence at night, but they may also experience urinary incontinence both during the day and at night. In these patients, the number of nocturnal urinary incontinence is more than one. Urinary incontinence while awake may be a sign of other underlying pathologies, such as urine leakage from the bladder to the kidneys. Such patients may need to be evaluated with a study called "urodynamics". In urodynamics, information is obtained about the functions of the urinary bladder and urinary tract and provides information in revealing the pathology and later planning the treatment.
Treatment options include medications, urination training, urination diaries, motivational treatments, and sometimes even surgical interventions.If there is only a problem of urination during sleep (monosymptomatic enuresis nocturna), behavioral treatments such as rewards, alarm devices, or bladder enlargement, which can be applied from the age of 6 onwards. Enuresis can be treated with some medications that reduce urine output.
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