Nocturnal Enuresis in Adults

Risk factors and functional abnormalities associated with adult onset secondary nocturnal enuresis in women

“…Detrusor overactivity has also been implicated in the pathophysiology of NE . NE in men has been suggested as a sign of a high pressure chronic urinary retention due to urethral outflow resistance, with a recommendation for investigations and treatment . Even though urodynamic investigations have been used in the assessment of adults with NE with or without other lower urinary tract symptoms, NE is still poorly understood, making management challenging.…”

A comprehensive review of adult enuresis

“…In men benign prostatic hyperplasia and outlet obstruction are significantly associated with higher prevalence of secondary NE. 6 Interestingly, NE in childhood does not increase enuresis risk in adulthood. 19…”

“…There are two types of adult enuresis classifications (Table 1). 1,2,[6][7][8] NE can be classified chronologically (i.e., primary versus secondary) or by symptomology (i.e., associated with LUTS or not).…”

“…Neurologic disease, psychiatric medications and sleep apnea syndrome are risk factors for NE. 6,12,17,18 Smoking, 12 obesity, 17 decreased physical activity, and hypertension 18 are risk factors specifically identified in women. In men benign prostatic hyperplasia and outlet obstruction are significantly associated with higher prevalence of secondary NE.…”

A Danish population‐based cohort study of desmopressin use in adults with nocturia or nocturnal enuresis

“…Nocturnal enuresis (NE), commonly known as bedwetting, is generally considered a childhood condition. Adult NE is less prevalent than pediatric NE and is less frequently studied . However, research suggests that the condition affects a small but significant proportion of the adult population.…”