Bedwetting pathophysiology

Jump to navigation Jump to search

Bedwetting Microchapters


Patient Information



Historical Perspective




Differentiating Bedwetting from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis


History and Symptoms

Physical Examination

Laboratory Findings

X Ray


Other Imaging Findings

Other Diagnostic Studies


Medical Therapy


Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Bedwetting pathophysiology On the Web

recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides


American Roentgen Ray Society Images of Bedwetting pathophysiology

All Images
Echo & Ultrasound
CT Images

Ongoing Trials at Clinical

National Guidelines Clearinghouse

NICE Guidance

FDA on Bedwetting pathophysiology

CDC on Bedwetting pathophysiology

Bedwetting pathophysiology in the news

Blogs on Bedwetting pathophysiology

Directions to Hospitals Treating Bedwetting

Risk calculators and risk factors for Bedwetting pathophysiology

Please help WikiDoc by adding more content here. It's easy! Click here to learn about editing.

Editor(s)-in-Chief: C. Michael Gibson, M.S.,M.D. [1] Phone:617-632-7753; Steven C. Campbell, M.D., Ph.D., [2] Phone:216-444-5595 Professor of Surgery, Residency Program Director, Section of Urologic Oncology, Glickman Urological and Kidney Institute, Cleveland Clinic.


Usual Developmental Process

Most bedwetting can be described as, "a bothersome alteration in normal development." [3] The usual development process is:

  • Infants: Void by reflex
  • One- and two-year olds: Bladder grows larger and the brain develops the ability to sense bladder fullness (McLorie & Husmann, 1987)
  • Two- and three-year olds: Develop the ability to void or inhibit voiding
  • Four- and five-year-olds: Develop an adult pattern of urinary control

Normal Processes of Staying Dry (Regulation in the Organism)

Children usually achieve nighttime dryness by developing one or both of two abilities. There appear to be some hereditary factors in how and when these develop.

  • One is a hormone cycle in which a minute burst of antidiuretic hormone happens daily at about sunset reducing kidney output of urine well into the night so the bladder doesn't get full until morning. This hormone cycle is not present at birth. Many children develop it between the ages of two and six years old, others between six and the end of puberty, and some not at all.
  • The other is the ability to awaken before wetting. The body normally develops the ability to wake when the bladder is full.


Template:WikiDoc Sources