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How can adult bed-wetting be treated?
Question
I am a 21 years old male suffering from bed-wetting. I am physically active and exercise daily. My problem started some eight months back with daytime involuntary passage of urine. The digital X-ray, Micturating cysto uerhrogram and ultrasound KUB indicates no significant post void residual urine, no evidence of calcification of prostrate, urethra appears normal and there is no evidence of vesicoureteric reflux. I consulted a urologist who asked me to take Renerve Plus every night before going to bed or to get up twice between 10 pm to 5 am and urinate. This helped me initially but now, I am facing the same problem. How can my problem be treated treated?
Expert Answer
R
Dr Rajesh AhlawatAug 18, 2009
Chairman
Division of Urology and Renal Transplantation
Medanta Kidney and Urology Institute
Medanta, the Medicity
Division of Urology and Renal Transplantation
Medanta Kidney and Urology Institute
Medanta, the Medicity
While adolescent bed wetting may rarely continue in adults and would get better with conservative measures, I would be worried if it happens de-novo in an adult as in your case. While short term bladder urgency and precipitancy may occur during urine infections, it is a sign of bladder instability in absence of infection. A detailed urological examination including Urodynamic study, followed by a complete neurological examination including MRI of the whole spine may be required to rule out a neurological cause for the same.
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