Log in to search using one of your social media accounts:

 

Tackling bedwetting: ‘Don’t be afraid to talk about it’

Bedwetting, otherwise known as urinary incontinence or enuresis, is fairly common, often embarrassing and sometimes difficult to talk about. It is estimated that about 20 percent of boys and 17 percent of girls, ages 6 to 7 years old have some problem with daytime or nighttime wetting. Still, many kids are reluctant to talk about wetting with parents, friends and teachers. Parents themselves often have a hard time confronting the issue. The Voiding Improvement Program (VIP) at Boston Children’s Hospital offers a comprehensive approach to bedwetting tailored to each child’s individual needs. “Our program is driven by highly skilled and compassionate nurses who understand both the physiologic and emotional issues surrounding urinary issues,” says Pamela Kelly, the program’s nurse director. Treatment may include biofeedback training, Reiki therapy, behavioral therapy and a referral for acupuncture. Kelly and VIP’s director, Dr. Carlos Estrada, offer five tips for managing your child’s wetting issues. Open communication Open communication is an important first step in addressing a wetting issue. “Kids have a hard time talking about their wetting problems for one obvious reason: It’s embarrassing,” Estrada says. “And positive communication is essential to creating a feeling of comfort and a plan to deal with enuresis.” Over time, embarrassment can build....
Source: Thrive, Children's Hospital Boston - Category: Pediatrics Authors: Tags: Health & Wellness bedwetting Dr. Carlos Estrada enuresis Pamela Kelly Voiding Improvement Program Source Type: news

Related Links:

CONCLUSION: The efficacy of vaginal laser treatment of SUI has not been assessed in comparative studies. More rigorous and adequately powered trials are required to assess the relative benefits and adverse event profile of laser treatment of SUI, as compared with other minimally invasive procedures. PMID: 29033365 [PubMed - as supplied by publisher]
Source: Progres en Urologie - Category: Urology & Nephrology Tags: Prog Urol Source Type: research
Conclusion: The change project is bringing   bladder health promotion to the forefront of the public health nursing service. With the addition of education sessions for nurses it will ensure best practice is promoted and the highest service will be provided to patients.Clinic staff nurses are currently working closely with Tertiary services to reduce unnecessary Urodynamic investigations. Our method of first line treatment plans in conjunction with Gp's for medication management where necessary is a viable way of achieving this.Our ultimate goal is to create a system of Direct referral pathways between hospital and co...
Source: International Journal of Integrated Care - Category: Nursing Source Type: research
ConclusionThis prospective non‐randomized study shows long‐term differences in QoL domains after bilateral nerve‐sparing RARP and brachytherapy. Differences in patient satisfaction should be further explored. These results could be used to counsel patients in the decision‐making process.
Source: BJU International - Category: Urology & Nephrology Authors: Tags: Original Article Source Type: research
AbstractNocturnal enuresis (NE) is a common health problem. Approximately 10% of 7-year-old children wet the bed regularly during sleep. Enuresis can be categorized into monosymptomatic (MEN) and nonmonosymptomatic (NMEN) forms. MEN occurs without any other symptoms of bladder dysfunction. NMEN is associated with dysfunction of the lower urinary tract with or without daytime incontinence. The rate of comorbid gastrointestinal, behavioral, and emotional disorders is elevated depending upon the subtype of NE. A careful clinical history is fundamental to the evaluation of enuresis. Diagnostic procedures include medical histor...
Source: Pediatric Nephrology - Category: Urology & Nephrology Source Type: research
AbstractA 4-year-old boy was referred to the nephrologist with daytime urinary incontinence and suspicion of an overactive bladder. At the age of 17  months he had been referred to the pediatric endocrinologist because of polyuria and polydipsia in order to exclude diabetes insipidus. Repeated water deprivation tests and a magnetic resonance imaging scan of the brain were normal. Diabetes insipidus was excluded, and primary polydipsia was thoug ht to be most likely since diabetes mellitus also had been excluded. At the current presentation, he drank up to 3 L a day and quite often had wet diapers. He also seemed ...
Source: Pediatric Nephrology - Category: Urology & Nephrology Source Type: research
ABSTRACT Objective: Evaluate clinical aspects associated with the presence of nocturnal enuresis (NE) in children with a diagnosis of overactive bladder (OAB). Material and Methods: A data base of 200 children who were evaluated by a structured questionnaire was analysed retrospectively . OAB was defined as the presence of urinary urgency (n=183 cases) and/or daytime urinary incontinence associated with holding maneuvers (n=168 cases). Inclusion criteria were a confirmed diagnosis of OAB, age 5-16 years, and no anatomical or neurological alterations of the urinary tract. Patients were divided into enuretics and non-enureti...
Source: International Braz J Urol - Category: Urology & Nephrology Source Type: research
AbstractIntroductionNocturnal enuresis (NE) is an underreported symptom with a profound impact on quality of life. The primary objective of this study was to investigate the prevalence of NE and its association with other lower urinary tract symptoms (LUTS).MethodsA validated pelvic floor questionnaire [electronic Personal Assessment Questionnaire –Pelvic Floor (ePAQ-PF)] was completed by 2302 women attending a urogynaecology clinic over a 3-year period. Association between NE and overactive bladder (OAB), stress incontinence (SUI) and nocturia was assessed using logistic regression. Subgroup analysis was performed o...
Source: International Urogynecology Journal and Pelvic Floor Dysfunction - Category: OBGYN Source Type: research
Enuresis, otherwise known as urinary incontinence or bedwetting, is fairly common, often embarrassing and sometimes difficult to talk about. It is estimated about 20 percent of boys and 17 percent of girls, ages 6-to-7 years old have some problem with daytime or nighttime wetting. Still, many kids are reluctant to talk about wetting with parents, friends and teachers. Parents themselves often have a hard time confronting the issue. The Voiding Improvement Program (VIP) at Boston Children’s Hospital uses a comprehensive and patient-tailored approach to help children with incontinence and other urological iss...
Source: Thrive, Children's Hospital Boston - Category: Pediatrics Authors: Tags: Health & Wellness bedwetting Dr. Carlos Estrada enuresis Voiding Improvement Program Source Type: news
AimsThe study aims to evaluate bothersome lower urinary tract symptoms (LUTS), risk factors, and associated functional abnormalities in women reporting adult onset secondary nocturnal enuresis (SNE), to help understand factors associated with SNE. Methods12,795 women (age>18) attending a tertiary referral centre underwent a comprehensive standardized evaluation including urodynamic testing in accordance with the International Continence Society recommendations. Records of all patients reporting bedwetting while asleep were evaluated under various categories. Multiple logistic regression was used to identify statisticall...
Source: Neurourology and Urodynamics - Category: Urology & Nephrology Authors: Tags: Original Clinical Article Source Type: research
The aim of the study was to evaluate the urodynamic findings in women who smoke cigarettes, with bothersome lower urinary tract symptoms, to help develop an understanding of potential impact of smoking on the lower urinary tract function. Methods: A database of 11,678 women who underwent urodynamic testing in a tertiary referral centre in the United Kingdom, from January 1991 to December 2009 was retrospectively analysed. All women reporting cigarette smoking were included in the study group. Urodynamic testing and interpretation of results were done in accordance with the recommendations of the International Continence So...
Source: Urologia Internationalis - Category: Urology & Nephrology Source Type: research
More News: Accidents | Acupuncture | Bed Wetting | Blogging | Boys | Children | Enuresis | Girls | Graduation | Hospitals | Incontinence | Learning | Nurses | Nursing | Overactive Bladder | Overactive Bladder Syndrome | Pediatrics | Teachers | Training | Universities & Medical Training