Urinary incontinence

Enuresis is a common urinary incontinence syndrome associated with neurological disorders or abnormalities of the genitourinary system. It is usually seen in young children during sleep, but there are cases of diurnal enuresis in people of all genders and ages.

As a percentage of the syndrome suffer: children – 94.5%, boys – 4.5%, adults – 1% of the total number of patients. Urinary incontinence in children under 4 years of age is not a violation of physiology, so the doctor can make this diagnosis only in people who have reached the age of 4 or more. Pathology manifests itself for physiological reasons or due to a violation of the psyche, therefore it is very important to timely and correctly establish the exact cause of the symptoms.

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Enuresis – causes of urorrhea

Today, a large number of factors are known that can become a catalyst for the onset of incontinence in children and adults. The most common of them include: impaired secretion of ADH, urological diseases, urinary tract infections, sleep disorders, heredity, delayed development of the urinary center.

In addition to the main factors, the development of enuresis can be triggered by: taking a number of medications, sudden fright, stress urinary incontinence, mental trauma, neoplasms in the genitourinary system, disruption of nerve endings, narrowing of the urethra, multiple sclerosis, improperly selected diet, etc.

Men and women’s urorrhea

Enuresis in women is less common than in men; doctors associate this predisposition with the peculiarities of the nervous system. The difference is especially clearly visible in childhood, when girls learn to control their own physiological reflexes faster. In adulthood, it can be triggered by gynecological operations or hormonal changes associated with menopause.

Enuresis in men is more common than in women, affecting up to 10% of boys under the age of 15. Urinary incontinence in men and women is similar in nature, with the exception of problems associated with the structural features of the genitourinary system.

Treatment of enuresis

Before treating enuresis, the doctor must conduct a comprehensive diagnosis of the body in order to determine the exact cause of the development of pathology. Treatment is prescribed only to specialized doctors, based on the data of the initial examination, test results, taking into account the individual characteristics of the patient’s body.

The treatment is based on three main methods: medication, drug-free and surgical. The use of this or that method directly depends on the type and degree of development of the pathology. In most cases, mixed conservative methods are used, including: physiotherapy, bladder training, exercises aimed at strengthening the pelvic floor, as well as drug therapy: antidepressants and antispasmodics.

Surgical intervention is performed only in extreme cases, when conservative methods cannot provide the desired effect.

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Treatment of enuresis in children (child enuresis)

In the absence of comorbidities, lean, conservative methods are key in treatment, focusing on five main areas: bladder training, wakefulness / sleep, exercise, psychological motivation of the child, and diet.

In some cases, doctors can prescribe a complex of physiotherapeutic procedures, including: electrophoresis, acupuncture, laser exposure. In children aged 10 and over, psychotherapeutic conversations with the active participation of parents are highly effective.

Treatment of enuresis in adults

Urinary incontinence after 50/60 years is a fairly common problem that causes significant discomfort for sick people. Therapy for adults is different from that for children.

In addition to surgical methods used in exceptional cases, the following is highly effective:

  • Changing the daily routine and eliminating stress factors;
  • Exclusion from the diet of caffeine, alcoholic drinks, as well as products that have a diuretic effect;
  • Physiotherapy is prescribed: acupuncture, exposure to pulsed and alternating current, electrophoresis, magnetotherapy;
  • Drug treatment: antibiotic therapy, hormone therapy, as well as symptomatic treatment with tranquilizers, nitrofurans and antidepressants.

If you or your child is experiencing urinary incontinence – do not hesitate to seek professional medical help!

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    Author </br> Kruchkovskaia Irina
    Kruchkovskaia Irina

    Psychiatry, psychotherapy

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