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Surgical Treatments for Nocturnal Enuresis

Not all adults are free from wet nights. Wet nights wherein a person voids or urinates during his or her sleep. Yes, wet nights are commonly seen in young children, but what most people do not know is that wet nights can also affect and be suffered by adults. Nocturnal enuresis is the medical term used in referring to bedwetting at night, sometimes also referred to as sleep enuresis. Most of time, children suffering from nocturnal enuresis can outgrow the problem and there are some children who can’t outgrow the problem.

Surgical Treatments for Nocturnal Enuresis

Surgical Treatments for Nocturnal Enuresis.jpg

Surgical Treatments for Nocturnal Enuresis

Surgical treatments should only be considered if and only if all other less invasive treatments and medications were not able to treat or manage the nocturnal enuresis. Aside from medications and less invasive treatments, behavioral modifications can also be tried when managing nocturnal enuresis. Surgical treatments for nocturnal enuresis are aimed in managing or treating anatomical defects of the urinary system and most of time, surgical procedures are done in attempting to treat severe detrusor overactivity.

Surgical Methods for Nocturnal Enuresis

As mentioned above, surgical procedures for nocturnal enuresis is done in attempting to treat severe detrusor overactivity. Detrusor overactivity is the condition wherein the bladder muscles or the detrusors contract involuntarily during bladder filling, resulting to involuntary urination.  Always keep in mind that all surgical procedures have associated risks and must be carefully considered and discussed with your healthcare provider. Here are some surgical methods or surgical procedures that can help in managing nocturnal enuresis.

  • Sacral Nerve Stimulation or SNS – this type of surgical treatment is usually prescribed for patients who are contraindicated to take prescription medications. The sacral nerve stimulation helps in increasing the external sphincter tone, thus causing the detrusor muscle neurons to stop activity. When the detrusor muscle neurons stop or decrease its activity, there will be less contraction of the detrusor muscle.
  • Clam Cystoplasty – the bladder will be cut open to patch the intestine between the two halves of the bladder. In this surgical procedure, the clam cystoplasty, the goal is to increase bladder capacity and reduce bladder instability.
  • Detrusor Myectomy or Autoaugmentation – In this surgical procedure, some parts or the entire exterior muscle surrounding the bladder will be removed. The major goal for this surgical procedure is to strengthen contractions of the bladder and reducing the number of contractions of the bladder.

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