Bedwetting

Bedwetting or enuresis refers to the inability to control bladder function during sleep. Enuresis can be categorized as primary (present since birth) or secondary (developing after a period of control). Distinguishing between the two is vital for tailored treatment approaches.

Primary enuresis typically resolves by age 5, with 80% achieving control. About 15% of the remaining group attains bladder control annually after age 5. Family history plays a role, yet predicting individual outcomes is challenging. Maturation of the brain's urination center influences night-time control. Treatment aims to enhance bladder capacity and reduce nighttime urine production until natural maturation.

Secondary enuresis occurs when a previously continent child regresses due to stressors, medical conditions (like diabetes or spinal issues), or medication effects.

At Pham’s Urology, we prioritize individualized care. Our approach considers each patient's history, medical conditions, and parental preferences to tailor workup and treatment strategies.

Incontinence

Incontinence, or the inability to control urine, can lead to child discomfort, embarrassment, and social challenges due to wetness, odor, and rashes. Often linked to underlying issues like constipation, kidney anomalies, or urinary tract infections, incontinence's clinical manifestations vary. Continual incontinence beyond age 5 commonly signifies an underlying problem, often accompanied by urgency and frequent urination.

The evaluation for incontinence varies in complexity, commencing with a comprehensive history and physical examination. Based on these findings, appropriate laboratory tests and imaging studies are selected. At Pham Urology, our approach tailors work-up and treatments to individual patients, enhancing precision and yielding superior outcomes.