Adult Bed Wetting: Causes and Treatment
Daytime and nocturnal enuresis; that is, the involuntary and repeated emission of urine on clothes or the bed due to the inability to control the sphincters beyond 5 five years of age, is a problem that not only affects some children (we will dedicate a future article to enuresis infantile): usually, adults with motor difficulties also suffer it.
However, following the appropriate treatment, adult bedwetting is a problem that has a solution, and that resolves more quickly in these adult patients than in children.
For you to dominate or control things, your muscles have to do a contraction movement. The same happens with the bladder: controlling the flow of urine implies having an adequate neuromuscular domain (of contraction of the bladder walls).
Adults with motor problems – either due to laterality disorder or because, for example, they have suffered an accident that has caused a head injury – are usually hypotonic, so they perform contraction movements very slowly.
This laxity is what causes them to stumble easily, things to fall out of their hands often, and also to suffer from daytime and nocturnal enuresis (in men, due to their physiology, the chances of suffering from it are more significant than in the woman, but the causes above – added to the loss of tension and control in the anterior part of the body with age – make it common also among women).
Likewise, enuresis in adults is also closely related to the undervaluation of the subject: if the emotional ego is not stable, this imbalance affects the motor balance, fed back and aggravated by the insecurity caused by involuntary urination.
Treatment Of Adult Bed Wetting
For the reasons described above, in the center, experts focus on treating adult bedwetting in two aspects: motor reeducation and verbal therapy (verbalization of anguish and anxiety).
However, before going into the explanation of the treatment, it seems essential to mention that there are patients who come to the consultation, not because of the problem of enuresis itself (which they also suffer from) but because of their issues of laxity, slowness, concentration, coordination, and reflexes are having such an impact on your work and personal life that solving them has become an imperative.
This is the case, for example, of a 40-year-old patient. He is a cook. He lost his job, not because of the enuresis (in his case, it was mild and daily), but because he was burned frequently, things fell off, he did not keep up with the rhythm in a kitchen that blocked him.
There are a series of exercises that you work with patients for their motor reeducation: exercises to exercise the facial muscles, static and dynamic balance exercises, digital precision exercises, coordination exercises, etc.
They aim to work on the neuromuscular contraction they do not do by themselves and whose absence causes the motor problem. The patient’s body memorizes that it has to respond to specific situations until it is fully integrated by repeating them.
Typically, you begin to see significant progress in patients after 4 to 5 months of therapy, and complete adult bed wetting healing usually occurs within two years (1 session per week).