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Urinary and Genital Disorders (Children)

8 year old pant wetting

10/10/2007

Question:

My eldest son was out of nappies at 2 yrs and 3 months, but has never been completely dry for any length of time. He has gone through phases of being less wet (ie only a small wet patch in a day), but mostly does a significant patch two or three times a day. This mostly occurs when he obviously needs to go to the toilet, but can also be only 30 mins to an hour after going - so wouldn`t seem to be brought on purely by having a full bladder.

The puzzling thing is he has been completely dry on a night from 3 years old and has never had a night time accident.

I have tried everything over the years - from sticker charts, rewarding when he has better days, taking toys off him if he has particularly bad days, ingnoring it, getting cross - but nothing has an effect. Is it just laziness or could there be something physical which he can`t help?

Answer:

It sounds like he has an overactive bladder. Anticholinergic therapy (medication) may be helpful. It would be reasonable to have him evaluated by a pediatric urologist or urotherapist.

Related Resources:

Minimally Invasive Management of Urinary Incontinence

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Go to the Urinary and Genital Disorders (Children) health topic, where you can:

Response by:

Jack S Elder, MD, FACS, FAAP Jack S Elder, MD, FACS, FAAP
Clinical Professor of Urology
School of Medicine
Case Western Reserve University