Bedwetting definition

Editor(s)-in-Chief: C. Michael Gibson, M.S.,M.D. [1] Phone:617-632-7753; Steven C. Campbell, M.D., Ph.D., [2] Phone:216-444-5595 Professor of Surgery, Residency Program Director, Section of Urologic Oncology, Glickman Urological and Kidney Institute, Cleveland Clinic.

Psychologists may use a definition from the American Psychiatric Association’s DSM-IV, defining nocturnal enuresis as repeated urination into bed or clothes, occurring twice per week for at least 3 consecutive months in a child of at least 5 years of age and not due to either a drug side effect or a medical condition. Even if the case does not meet this criteria, the DSM-IV definition allows psychologists to diagnose nocturnal enuresis if the wetting causes the patient clinically significant distress. [3]

Other definitions cast themselves as more “practical” guidance, saying that bedwetting can be considered a “clinical problem” if the child is unable to keep the bed dry by age seven. [4]

D’Alessandro refines this to bedwetting more than 2x/month after the age:

• 6 years for females
• 7 years for males. [5]

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