Published: 2017-10-27

Late adolescent primary nocturnal enuresis: a case report

Periyar Rani Selvaraj, Ranganathan Thirumalai


Primary nocturnal enuresis is a rare condition. Literature review revealed that 1% of boys still bed wet at 17 years of age. There is a paucity of literature on the incidence and prevalence of bed wetting in patients above 17 years of age. We therefore present a case of 18-year-old boy having bed wetting since childhood.


Adolescent, Bed wetting, Primary nocturnal enuresis

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Nevéus T, von Gontard A, Hoebeke P, Hjälmås K, Bauer S, Bower W, Jørgensen TM, Rittig S, Walle JV, Yeung CK, Djurhuus JC. The standardization of terminology of lower urinary tract function in children and adolescents: report from the Standardisation Committee of the International Children’s Continence Society. J Urol. 2006;176(1):314-24.

Austin PF, Bauer SB, Bower W, Chase J, Franco I, Hoebeke P, Rittig S, Walle JV, von Gontard A, Wright A, Yang SS. The standardization of terminology of lower urinary tract function in children and adolescents: update report from the Standardization Committee of the International Children's Continence Society. J Urol. 2014;191(6):1863-5.

von Gontard A, Mauer-Mucke K, Plück J, Berner W, Lehmkuhl G. Clinical behavioral problems in day-and night-wetting children. Pediat Nephrol. 1999;13(8):662-7.

Yeung CK, Sreedhar B, Leung VT, Metreweli C. Ultrasound bladder measurements in patients with primary nocturnal enuresis: a uro- dynamic and treatment outcome correlation. J Urol. 2004;171(6 Pt 2):2589–94.

Safarinejad MR. Prevalence of nocturnal enuresis, risk factors, associ- ated familial factors and urinary pathology among school children in Iran. J Pediatr Urol. 2007;3(6):443–52.

Troup CW, Hodgson NB. Nocturnal functional bladder capacity in enuretic children. J Urol. 1971;105(1):129-32.

Yeung CK, Sit FK, To LK, Chiu HN, Sihoe JD, Lee E, Wong C. Reduction in nocturnal functional bladder capacity is a common factor in the pathogenesis of refractory nocturnal enuresis. BJU International. 2002;90(3):302-7.

Yeung CK, Diao M, Sreedhar B. Cortical arousal in children with severe enuresis. New Eng J Medic. 2008;358(22):2414-5.

Bakwin H. The genetics of enuresis. In: Kolvin RM, Meadows SR editors. Bladder Control and Enuresis. London: Medical Books Ltd.; 1973. p. 73. Bakwin H. Enuresis in twins. Am J Dis Child. 1971;121:222-5.