Occasional Contributor
Posts: 8
Registered: ‎02-06-2014

When should parents seek bedwetting treatment for their children? By Dr.Jacob Sagie and Tal Sagie

[ Edited ]

bedwetting therapee.jpgParents who are considering the option to seek bedwetting treatment for their children should keep in mind the following considerations:

  • Child’s age: four years and older.
  • Maturity:  Children between four and five years old should be considered mature for their age and should be able to concentrate on specific tasks.
  • Motivation: Child are frustrated or unhappy with having a bedwetting problem. They get sad or upset when they wet the bed and remain happy when they are able to stay dry. They explain, sometimes, that they would like to stop wetting the bed, but they may not express how upset they are over the problem. This should not necessarily lead parents to think that the child is apathetic to the problem overall.
  • Unstable bedwetting frequency: If the child is in a situation where bedwetting frequency changes over time, this can make for an especially difficult situation. Due to the inconsistency of the issue, it may be necessary to hold off treatment until the bedwetting frequency increases.
  • Seasonal bedwetting: In some cases, children may not wet the bed as much during the summer but do so more in the winter. When this happens, it is necessary to begin the treatment immediately after autumn starts.
  • Parents’ readiness: Parents play a very important role when it comes to helping children on bedwetting treatment, so they need to be ready to invest the necessary time and effort to handle the problem. For example: parents may need to supervise daily exercises. If a parent brings a child into bedwetting treatment without being prepared, the child could fail.
  • Causes of bedwetting: If it is discovered that there is actually a medical problems causing the child's enuresis, then behavioral treatment will unfortunately not be effective. Some common instances of this include when the child has permanent urinary tract infections, spina bifida, epileptic seizures, and spinal core problems.
  • Behavioral treatment for bedwetting, like THERAPEE, may also not be the best option if the child has been diagnosed with psychological problems or is under a great deal of emotional stress. This may be due to life trauma, physical or sexual assault, a car accident, family violence, relationship problems, etc.). In such cases, enuresis cannot be treated but the cause of the problem itself should be.

Unfortunately, some parents tend to look at bedwetting as a personal failure on their part and simply want to treat the child, even if treatment may not be the best option at that point in time. However, it is important that parents do not force treatment in unfavorable situations; otherwise, the treatment will fail and tension could arise between the parents and child.


New Member
Posts: 1
Registered: ‎02-17-2014

Re: When should parents seek bedwetting treatment for their children? By Dr.Jacob Sagie and Tal Sagi

We have four children and 3 of them have had bed wetting problems.  One we were able to use a chiropractor for treatment which help tremendously. The other two it is random and no treatment was needed.  However we did have the youngest checked throughly by a DR and we found that she was not emptying her bladder all the way.  With age this had improved.  Great article!!!

Merci K
I love helping others create a healthy life and an income~
Posts: 36
Registered: ‎11-13-2013

Re: When should parents seek bedwetting treatment for their children? By Dr.Jacob Sagie and Tal Sagi

My Children ahd this problem till he was 6 years old. We thought of visiting some doc then but later, we thought of waking him up sometime in night and making him also walk to the wash room so that he is empty in his bladder and doesn't wet the bed. Now he is way out of that habit and never repeats those. We din't give him any therapy for that and he lerant on his own.

Occasional Contributor
Posts: 8
Registered: ‎02-06-2014

Re: When should parents seek bedwetting treatment for their children? Dr.Jacob Sagie and Tal Sagie

I'm happy that it worked for you. In very few cases, waking the child up and dragging him to the bathroom can help.

Having said that, this is the most common mistake. By waking up your child at night the responsibility for staying dry is transferred from the child to the parents. The child empties his bladder regardless of the pressure within the bladder. There is no learning process and the child becomes accustomed to emptying his bladder during sleep. It is important for the child to take responsibility for staying dry.

Tal Sagie, M.A

Enuresis Specialist

Occasional Visitor
Posts: 1
Registered: ‎05-28-2014

Re: When should parents seek bedwetting treatment for their children? Dr.Jacob Sagie and Tal Sagie

Dear Dr. Sagie:


My son is 12 years old and we have been unable to overcome this problem.  As mentioned in the article, I believe that his problem stems from being a very deep sleeper and from genetic pre-disposition (my mother and I both get up at least once at night to use the toilet).  We live in Honduras and the expert most related to this issue that we have been able to visit is a pediatric neurologist, although perhaps you could recommend a different specialty.  My son has been prescribed the following by this doctor:

1)  avoiding liquids after 7 pm

2) vesicular exercises (stopping and starting his urine flow)

3) imipramina

At first the imipramina did not help, so the dr. raised the dosis from 1 tablet to 1 1/2 tablet.


We didn't look for this doctor for this issue.  My son has physical problems with one hand.  While there, we mentioned the enuresis and his stuttering problem.


All these problems break my heart, but the honest truth is that the one that bothers him the most is the enuresis.  


His prescription ran out and I have not been able to get it refilled yet (2 weeks) because we live four hours from the doctor, so in the meantime I have resumed getting him up before I go to bed.  Naturally, I was alarmed to read that you believe this to be the most common mistake.  I assumed that I was training him to get up at night, which I imagine will be his pattern at some point.  I just can't bear to let him wake up wet and get depressed when I know we can avoid this if I simply take him to the bathroom around 12 or 1.  You mentioned "dragging him to the bathroom"; although my son walks himself there (staggering under my guidance), he is a total zombie and has no recollection of it later, so I understand what you mean.


What else can we do?  What do you think of the treatment we have been prescribed?  Please advise.  This is so painful.


Occasional Contributor
Posts: 8
Registered: ‎02-06-2014

Re: When should parents seek bedwetting treatment for their children? Dr.Jacob Sagie and Tal Sagie


I certainly understand and sympathize the awful nights you and your son are experiencing. The majority of enuretics (90%) do not have either anatomical or psychological problems. For most enuretics, the primary source of the issue is unusually deep sleep. These are normal, healthy children who have not learned to activate the appropriate reflex system during sleep. Typically, when a person sleeps and pressure is built up inside the bladder, a signal is sent to the brain. Among enuretics, the signal is not recognized by the subconscious reflex system and instead of contracting the sphincter muscle, the circular muscle that keeps the bladder closed, the child relaxes the muscle and urinates during sleep.

Your son's bedwetting frequency certainly justifies professional treatment.

I have no doubt that his bedwetting issue will strongly affect the quality of life especially at a later age.

Medication is definitely not a solution. The advantage of medication is that some or even considerable progress might be seen during the initial stages of drug usage; however, in addition to possible side effects of the drug, there is a very high relapse rate (60-90%) when the patient stops using the medication.

Our unique treatment model is based on experience with more than 30,000 patients and takes into consideration all aspects of bedwetting.

To learn about TheraPee's online program please go to  -



Good luck!


Dr. Jacob Sagie, Ph.D.




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