Adult Consequences
The goal of enuresis therapy can be defined as “avoiding bedwetting”. However, a significant number of the children who were “cured” may suffer from nocturia in their adult life. In a German study, bedwetting in children was shown to be associated with nocturia in later life (P=0.0747; odds ratio 1:351) [26]. In another study, nocturia was found to have a disruptive effect, reducing productivity by almost 25% in the working population [27]. Similarly, D'Ancona et al. reported that adults with incontinence were more likely to have a history of childhood enuresis [28]. Thus, although we may be successful in treating the symptom of nocturnal enuresis in these children, there may well be long-term sequelae of the disorder that we are not fully aware of.