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Most children gain control of urine at night by four to five years
of age, but bedwetting may still occur in 15% of children by age six years.
This may occur from a variety of reasons including increased production of
urine while asleep, maturational lag and unstable bladder contractions. The
evaluation of bedwetting or nocturnal enuresis is relatively simple, including
history and physical examination and urinalysis. Treatment may be instituted,
including medical management, behavior modification, or conservative/expectant
treatment. The bedwetting almost invariably resolves at a rate of 10% per
year as the child progresses toward adolescence. We can offer you guidance
and further information should you wish to gain some control over this problem.
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