Patient Q: A 14 year old boy used to wet the bed when he was little, so he caught it in a urinal. Now that he is older, he can’t catch his urine anymore, but he still wets the bed sometimes. He says he can’t wake up in the middle of the night. He’s a bit circumcised, but it’s not serious, and the doctor says it’s okay to wash it in the shower. He has to pee when he has to pee during the day, otherwise it looks like he can’t hold it in, and there is a lot of pee, is it urgent? How can I treat it? Thank you! Doctor’s answer: Hello. Nocturnal enuresis in older boys is a problem, causing inconvenience to the child’s life and psychological impact; for the parents, it is difficult to wash the sheets and quilts every day; for doctors, it is difficult to figure out the cause of the problem and treatment is tricky. It is recommended to first visit the urology department or nephrology department of a specialized children’s hospital to perform some routine tests for enuresis, such as urinary routine, ultrasound, urodynamics, and sacrococcygeal x-ray, to try to find the cause. At the same time, we should insist on behavioral treatment, the simplest of which is to wake the child up at night to urinate, making sure to wake him or her up completely, to find out for yourself the time when the child is most likely to wet the bed, and to wake him or her up every day in time to urinate before that time, which is generally the most effective solution. Be consistent until your child establishes a nighttime urination reflex on his or her own. Bladder training should also be done during the day, and it is not advisable to hold urine for too long. It is also important not to hydrate 2 hours before bedtime, including milk and fruit. There are also medications that can be used in conjunction with this, mainly to reduce urine production at night as well, such as urine loss synthroids and mydriasis.