Lower wetting is seen in 40% of three-year-olds, while this rate drops to 20% at age 5 and to 10% at age 6. Yeditepe University Hospital Department of Pediatric Surgery Assoc. Selami Sözübir, De In our country, these rates are slightly higher than the world rates, ”he says. Latma Soaking the night is largely based on genetic predisposition. If one of the parents has a history of wetting, 44% of the children and 77% of them have the problem of wetting. ”
: How old is it normal for children to pee at night?
Assoc. Dr. Selami Sözübir: The International Child Urinary Incontinence Association defines children under the night to soak in unintentional urination during the night's sleep of children older than 5 years at least twice a week. Healthy children may also lose urine at night if they take excessive fluids before sleep. However, this event should be considered as a condition and decided to treat at least 3 consecutive months, more than 2 times a week.
: What is the incidence? Is it more common in girls or boys?
Assoc. Dr. Selami Sözübir: Under-night soaking is often the result of a delay in the development of the bladder. Therefore, the frequency decreases with age and is more common in boys than in girls. Families begin to deal with this problem around the age of 5-6, and usually ask for help from physicians at the age of 7-8. In our country, these rates are slightly higher than the world rates, and it is reported that 16% of boys and 11% of girls in the 7-11 age group have night wetting problems. Interestingly, over the age of 20 in the world at the rate of 1-2% of adult wets are seen under the night.
: What are the reasons?
Assoc. Dr. Selami Sözübir: The majority of children who wet the diapers at night are in the group of diapers that we call the primary type. In other words, these children have never had a period that we can say is normal. One of the main reasons for this is that children's nervous system is not fully developed and bladder nerve control is not fully achieved. It is reported that children wetting under this type of night feel insufficient bladder fullness at night, their bladder capacity is small and their sleep depth is high. The patient cannot detect bladder contractions that normally occur when the bladder is full and cannot sense the increase in pressure in the bladder, as a result it wets the diaper during sleep at night. There are also research results that show that the hormone that reduces urine at night is not normal in these children. It is very important that children who have wetted in the night should be examined by a specialist physician, and that rare diseases of the child should be investigated and differentiated.
: Is it more common in children with the same family history?
Assoc. Dr. Selami Sözübir: Indeed, night-wetting is largely based on genetic predisposition. So it's a familial disorder. If one of the parents has a history of wetting, 44% of the children and 77% of them have 77%. If the father wets the pants during his childhood, the chance of his child being seen is about 7 times higher than other children. If you have parents in this past this rate is about 5 times higher. Cases with a family history have a similar course to their families in terms of recovery time. In addition, chromosomes such as 5,13,12,22 and chromosomes such as 5,13,12,22 have been identified in recent years.
: How is the treatment planned?
Assoc. Dr. Selami Sözübir: The first condition to be successful in treatment is the full cooperation between the family, the child and the physician. The main principle is to reassure the child by eliminating the feeling of guilt and, if possible, to ensure the child's ownership. First of all, the programs that need to be tried are for the child to wake himself or his family at night. These are called motivation programs and can only increase the success of direct treatment by 25%. First, children are tried to wake up spontaneously. Various drugs have been used in the treatment of gold soaking for many years. Unlike child to child, these medication treatments last for an average of 6 months. There is a misconception that some medicines used in the treatment of the public may cause infertility. This is a fictitious and unsubstantiated myth. If the motivation and drug treatment is applied together with the support of the family, the success rate in these children is 70-80%. The most important disadvantage of drug treatment is the high risk of discomfort after discontinuation of treatment. Therefore, it is recommended to use alarm and drug treatment together in recent years. Alarm devices are tools that help the child to control their bladder by waking the child as soon as the child starts to miss urine. Significant advances have been made in the technology of alarm devices in recent years and both small and easy to use alarm devices have been produced. Alarm treatment should be continued for at least 3 months and this treatment provides up to 85% improvement in children. The risk of recurrence at the end of alarm therapy is very low.
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