Bedwetting: a clinic to help children and parents

Bedwetting: a clinic to help children and parents

For a child, wetting the bed every now and then is quite normal. When it happens frequently, however, it can become a problem, capable of undermining self-esteem and turning into a limitation for one’s social life. It is called enuresis, and it is a problem that affects approximately 15% of children between five and six years old. Understanding how to deal with it is not easy, but in Rome parents have a point of reference: the brand new “Centre for the treatment of children with enuresis and other urination disorders”, a clinic completely dedicated to this problem, activated by the Campus Bio University Polyclinic Foundation -Doctor (among the “Hospitals of excellence” for urology).

“Often, since the knowledge available on the treatment of enuresis is confused and unclear, families struggle to find an adequate diagnostic-assistance path that accompanies them towards resolving the problem”, explains Pietro Ferrara, director of the Unit Paediatrics of the Foundation and head of the Center for Enuresis. “This happens despite the fact that it is a more widespread problem than is believed: approximately 10-15% of children at 5-6 years of age suffer from it, 6-7% at 9-10 years of age, 3% at 12 years of age and 1% over 15 years old. For this reason we created the Enuresis Centre: our task is to help children and parents deal with this problem by following a path that is as linear and serene as possible”.

The new enuresis center was born in one of the pediatric urology facilities with the most experience in our country: over 500 patients followed in the last 3 years, and an important scientific production on the topic. And on this wealth of knowledge, a tailor-made path for young patients was founded, which begins with a specialist visit and a conversation with the parents, in which particular attention is paid to educational aspects, dietary rules and sleep hygiene. , to the rehabilitation of the pelvic floor. Where necessary, further diagnostic investigations are carried out with a visceral ultrasound. And in cases of non-monosymptomatic enuresis, i.e. which also manifests itself with leakage of pee during the day or other daytime disturbances, uroflowmetry or a day hospital can be organized with an interview with a psychologist, urological examination, urine tests and other clinical and specialist investigations, decided at the time of the initial visit.

In the case of enuresis, the psychological dimension of the treatment is also important, and in fact we try to make children responsible with behavioral advice, and to involve them in the treatment by explaining to them that they must not feel “different”, because many children of the same age experience the same situation. At the same time, parents are invited not to blame the child or ridicule him by talking about the problem with strangers or asking everyone for advice in front of the child himself.

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