Treatment of Urinary incontinence in children
There are some reasons that lead to a child’s injury to nocturnal urinary incontinence or vesicoureteral reflux disease, and the most important of them are:
– Organic causes of urinary incontinence, such as overactive bladder and congenital malformations in the nervous system, or diseases of the urinary and reproductive system.
Nocturnal urinary incontinence has other causes, such as a lack of self-confidence in these children because they feel inferior to other children because they do not control their bladder like others.
For vesicoureteral reflux disease, it is caused by bacterial urinary infections due to congenital anomalies.
Nocturnal urinary incontinence in children
It is a symptom of involuntary urination during sleep and affects those over the age of five. It is also called mono symptomatic incontinence, meaning bed-wetting during sleep at night, and the main causes of nocturnal urinary incontinence in these children are the hyperactive bladder due to its smallness or due to a lack of production the pituitary gland of the antidiuretic hormone in the brain.
Vesicoureteral reflux in children
it is most prevalent by 60% due to bacterial urinary infections due to a congenital defect in which the child is born, which is a defect in the mechanism of closing the ureteral port in the bladder and the inability of this part in the ureter to be closed during the bladder fullness leading to the incidence of repeated progressive bacterial infections in the bladder. Bladder, renal pelvis and kidney.
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Prof. Dr. Semir Al-Samarrai
More information for parents
Bedwetting
Night-time wetting is common in young children and improves on its own as most children grow. It is not usually treated before about the age of five. When treatment is needed, it can include limiting drinks in the evening, passing urine before bed, a bedwetting alarm, and sometimes a medicine chosen by the doctor. Children should never be blamed or punished for wetting.
Vesicoureteral reflux
Reflux is graded by severity, and many mild cases improve as the child grows. Treatment depends on the grade and on how often infections occur. It may include monitoring, preventive antibiotics in selected cases, an endoscopic injection, or surgery for severe cases.
When to see a doctor urgently
A fever without a clear cause in a baby or young child can be a sign of a urinary tract infection and needs a prompt urine test, especially in a child known to have reflux.
Medically reviewed by: Prof. Dr. Samir Ahmed Al-Samarrai, consultant urologist.
About the doctor
Prof. Dr. Samir Ahmed Al-Samarrai, consultant urologist. He studied medicine at the universities of Heidelberg and Johannes Gutenberg in Germany and graduated with distinction, earned his doctorate (PhD) with a research thesis in 1980, and on 23 August 1978 received his specialist certificate in the treatment and surgery of male urological diseases from the Free University of Berlin, at its medical school hospital, under the specialist regulations of the Berlin Chamber of Physicians.
Clinic: Prof. Al-Samarrai Medical Center, Al Razi Medical Complex 64, Building D, 2nd floor, No. 2018, Dubai Healthcare City, Dubai. MOHAP licence: ZGU3I12X-291225.
This article is for health education and does not replace a consultation with a doctor. Last updated: 3 November 2026.
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