Enuresis: Treatment

Most cases of enuresis are treated through behavioral therapy, although in some cases medication may be prescribed.

Psychotherapeutic: An experienced clinician can work with families to craft a behavioral approach. There are several options, among them moisture alarms—sensors that detect moisture and will wake a child whenever he begins to wet the bed—that have proven extremely effective in treating enuresis, though they may take several weeks. Other options may include limiting liquid and caffeine intake at night, encouraging frequent urination, and rewarding kids for each night without bedwetting.

Pharmacological: There are some medical options for treating enuresis, but they only work in the short-term; when the child stops taking the medicine he will resume wetting his bed. Desmopressin, which can be taken in a pill or nasal-spray form, causes less urine to be produced at night. If a child has a small bladder, another option might be Ditropan or Levinsin, which increases bladder capacity and decreases bladder contractions.