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Infections and disease are more strongly connected with secondary nocturnal enuresis and with daytime wetting. Less than 5% of all bedwetting cases are caused by infection or disease, the most common of which is a urinary tract infection. [32] Patients with more severe neurological-developmental issues have a higher rate of bedwetting problems.
The enuresis alarm methodology originated from French and German physicians in the first decade of the 20th century. Meinhard von Pfaundler, a German pediatrician made the discovery accidentally, with the original intention to create an alarm device that would notify nursing staff when a child had bed wetting and needed to be changed, showing the device to have a significant therapeutic ...
The DSM-V classifies enuresis as an elimination disorder and as such it may be defined as the involuntary or voluntary elimination of urine into inappropriate places. A patient must be of at least a developmental level equivalent to the chronological age of a 5 year old in order to be diagnosed with enuresis (in other words it is not abnormal ...
While 15% to 20% of five‐year‐old children experience nocturnal enuresis which usually goes away as they grow older, approximately 2% to 5% of young adults experience nocturnal enuresis. [38] About 3% of teenagers and 0.5% to 1% of adults experience enuresis or bedwetting, with the chance of it resolving being lower if it is considered ...
In voluntary urination, the bladder's normally relaxed detrusor muscle contracts to squeeze urine from the bladder. One study, of 109 children diagnosed with giggle incontinence at Schneider Children's Hospital in New York, concluded that the cause of giggle incontinence is involuntary contraction of the detrusor muscle induced by laughter. [5]
[2] [3] The term enuresis is often used to refer to urinary incontinence primarily in children, such as nocturnal enuresis (bed wetting). [4] UI is an example of a stigmatized medical condition, which creates barriers to successful management and makes the problem worse. [ 5 ]
This is a list of current and former hospitals in the Commonwealth of Massachusetts, U.S.By default, the list is sorted alphabetically by name. This table also provides the hospital network of each hospital (if applicable), the city and county where it is located, whether or not it has an emergency department, when it was opened and closed, its current status, type, and former names.
As with any patient, a detailed history of the problem is required to establish what is normal for that patient. The principal diagnostic tool for nocturia is the voiding bladder diary. Based on information recorded in the diary, a physician can classify the patient as having global polyuria, nocturnal polyuria, or bladder storage problems.