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Diurnal enuresis is daytime wetting (functional daytime urinary incontinence).Nocturnal enuresis is nighttime wetting. Enuresis is defined as the involuntary voiding of urine beyond the age of anticipated control.
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Nocturia is defined by the International Continence Society (ICS) as "the complaint that the individual has to wake at night one or more times for voiding (i.e., to urinate)". [1] The term is derived from Latin nox – "night", and Greek [τα] ούρα – "urine". Causes are varied and can be difficult to discern. [2]
Nocturnal enuresis usually presents with voiding of urine during sleep in a child for whom it is difficult to wake. [7] [8] It may be accompanied by bladder dysfunction during the day which is termed non-mono symptomatic enuresis. [9] Day time enuresis, also known as urinary incontinence, may also be accompanied by bladder dysfunction.
Urination, or voiding, is a complex activity. The bladder is a balloon-like muscle that lies in the lowest part of the abdomen. The bladder stores urine and then releases it through the urethra, which is the canal that carries urine to the outside of the body. Controlling this activity involves nerves, muscles, the spinal cord and the brain.
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]
It is also known medically as micturition, [4] voiding, uresis, or, rarely, emiction, and known colloquially by various names including peeing, weeing, pissing, and euphemistically number one. The process of urination is under voluntary control in healthy humans and other animals , but may occur as a reflex in infants, some elderly individuals ...