Childhood bedwetting and adult incontinence

Childhood bedwetting may be a predictor of bladder control problems later in life.To investigate whether the childhood and adulthood problems might be linked, researchers from the Zeynep Kamil Women and Children Disease Education and Research Hospital in Istanbul surveyed 1,021 women seen at their centre's gynaecology clinic. Overall, 229 women said they wet the bed after the age of 5, and the childhood problem was more common among those who currently had urinary incontinence - 30 percent reported a history of bedwetting, versus 21 percent of those with no bladder control problems. Researchers found that women with urinary incontinence are more likely than other women to have had bedwetting problems as children. The findings suggest that in some cases, a common cause may underlie both childhood and adult bladder problems.According to the researchers, the potential causes could include some flaw in the nerve pathway between the bladder and brain, or a developmental defect in the pelvic muscles or ligaments that help control the flow of urine. The cause of chronic bedwetting in school-age children is not fully clear, but it's thought to have a genetic component, since family history of the problem appears important. Urinary incontinence is commonly seen in women, and can arise from a number of causes, including weak or overactive bladder muscles. For some women, incontinence is related to childbirth or menopause. When the researchers focused on the different types of urinary incontinence, they found that childhood bedwetting was specifically linked to stress incontinence, in which urine leaks from the bladder during exercise, heavy lifting or other activities that put stress on the organ. More than 35 percent of women with stress incontinence wet the bed as a child. In addition, nearly 6 percent of women with a history of bedwetting had faecal incontinence, versus just over 2 percent of those with no such history. According to the researchers, the findings suggest that some congenital or developmental defect could be at work in some of these women. For example, they note a problem in the collagen component of the pelvic muscles or ligaments could cause both delayed maturation of the structures involved in bladder control, and a vulnerability of these structures to weakness and injury later in life.