Enuresis

what is enuresis?

inability of a child to establish proper bladder control resulting in either daytime or nighttime involuntray urination

what is primary enuresis?

occurs in kids over 5 years of age who have never been able to establish proper bladder control

what is secondary enuresis?

diagnosis of a child who has been able to establish proper bladder control but has since lapsed back to wetting the bed

what muscles control bladder emptying?

detrusore and trigone

what is the nerve supply of bladder muscles?

parasympathetic from S2-S4

where does the urogenital diaphragm get nerve supply from?

L2

what is the etiology of primary enuresis?

family history, meds, emotional disturbances, anxiety and ADHD, mechanical cause

what is the etiology of secondary enuresis?

related to stress, trauma or psychological crisis

what is the mechanical etiology of enuresis?

the developing sacrum subject to trauma adjusting can help

what is the management of enuresis?

meds, CMT and counseling