1.What age is bedwetting in children considered enuresis? A: Generally, bedwetting is considered to be bedwetting when the child is over 5 years old. However, since 3 year olds go to kindergarten, if they wet the bed during naptime, it will definitely cause psychological effects on the child, so interventions other than medication can be done. 2.With age, enuresis tends to heal itself, so what is a good age to start treatment? A: It is true that enuresis tends to heal on its own with age, and most children with enuresis will heal on their own. However, since children start kindergarten at the age of 3, which means they are already in contact with society, and the biggest negative impact of enuresis is that it affects the child’s psychological development, I advocate intervention for enuresis at the age of 3 weeks, especially for children who also enure at naptime. 3.What causes enuresis? A: Enuresis is a multifactorial condition, including bladder function, brain development, level of antidiuretic hormone secretion, gastrointestinal function, and psychological factors. Therefore, the treatment of enuresis must be a comprehensive treatment. 4.What is the best medicine for enuresis? A: Because enuresis is a multi-cause condition, treatment must be a comprehensive treatment. Currently, according to my statistics, the efficiency of drugs on the market or advertised specifically for the treatment of enuresis is generally only about 25% if used alone. In my experience, the treatment of enuresis must include several aspects such as dietary regulation, bladder training, medication, and psychological counseling. If comprehensive treatment can be carried out, the cure rate is over 80%. 5.Is enuresis related to sacrococcygeal fissure? A: Many doctors like to take an x-ray of the sacrococcygeal area when they see enuresis, and if there is occult fissure in the x-ray, they tell parents that your child’s enuresis is caused by occult fissure, and it is difficult to treat. My clinical statistics show that children with enuresis are more likely to have cryptorchidism than children without enuresis, but cryptorchidism itself does not cause enuresis, so we don’t recommend taking an X-ray for children who are first-time patients, because there is little guidance for treatment. However, for persistent enuresis, the presence or absence of cryptorchidism is an objective basis for deciding whether surgical treatment is possible. 6.Can persistent enuresis be treated surgically? A: For those children whose long-term treatment is ineffective, with frequent daytime urination and wetting of pants, etc., which has seriously affected their study and quality of life, if they have sacrococcygeal fissure, they can be treated surgically, and the efficiency is over 66%.