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Enuresis nocturna in adults

R A Hirasing1, F J van Leerdam, L Bolk-Bennink

  • 1TNO Prevention and Health, Leiden, The Netherlands.

Scandinavian Journal of Urology and Nephrology
|February 12, 1998
PubMed
Summary

Adult enuresis nocturna affects 0.5% of adults, often leading to psychosocial issues. Many adults with bedwetting do not seek treatment, unaware it is a treatable condition.

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Area of Science:

  • Urology
  • Psychology
  • Public Health

Background:

  • Enuresis nocturna (bedwetting) in adults is often overlooked, despite potential impacts on quality of life.
  • Limited data exists on the prevalence, treatment, and psychosocial effects of adult enuresis nocturna.

Purpose of the Study:

  • To determine the prevalence and characteristics of enuresis nocturna in adults aged 18-64.
  • To investigate treatment-seeking behaviors and perceived impact of the condition.
  • To raise awareness about the treatability of adult bedwetting.

Main Methods:

  • A random sample of 13,081 non-institutionalized adults (18-64 years) participated.
  • A personal computer questionnaire assessed frequency, daytime wetting, treatment, and perceived impact.
  • Enuresis nocturna was defined as bedwetting at least once in the previous 4 weeks.

Main Results:

  • Overall prevalence of enuresis nocturna was 0.5%, with no significant differences between age groups or sexes.
  • Primary enuresis nocturna affected 50% of men and 19% of women; daytime incontinence was reported by 12% of men and 29% of women.
  • Many adults had not consulted a healthcare provider (50% of men, 35% of women) or attempted treatment (38% of men, 26% of women); only 30% believed it was treatable.

Conclusions:

  • Adult enuresis nocturna is a prevalent condition associated with significant psychosocial problems, including embarrassment and discomfort.
  • Lack of awareness regarding treatability and limited consultation with healthcare providers contribute to untreated symptoms.
  • Increased public awareness and education are crucial to encourage adults to seek treatment for bedwetting.

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