Enuresis (Urinary Incontinence) | Diagnosis & Treatments

How is enuresis diagnosed?

Enuresis is only diagnosed in children 5 years or older. The tests used for diagnosing nighttime and daytime wetting are the same.

In most cases, enuresis is diagnosed based on a review of a complete medical history along with a physical exam. However, diagnostic tests may be used to determine if there is an underlying medical problem. These tests include:

  • urinalysis
  • uroflowmetry (a non-invasive test used to measure pattern and quality of urine flow)
  • ultrasound
  • x-ray of the abdomen and pelvis

How we treat enuresis

If a child is over potty training age (usually 5 years old) and has frequent accidents, especially during the day, it is best to seek help from a doctor as soon as possible. Children can experience social embarrassment and, as a result, emotional stress because of this problem. The earlier the problem can be identified and treated the better.

At Boston Children’s Hospital, our Voiding Improvement Program (VIP) team takes a comprehensive and holistic approach to treat a wide variety of urinary issues. After a thorough evaluation to diagnose any urological problems, our staff customizes a treatment plan and shares that plan with the child’s primary care doctor. When possible, we employ non-invasive methods for treatment or will refer you to the appropriate therapy option.

Treatment for prolonged and serious forms of wetting can include: