More than likely nerve related control mechanisms and their link to sleep play an important role in causing bed-wetting. If medical disorders can be ruled out as a cause for bed-wetting, one should be patient until maturation is complete. However, when children sleep with others or spend the night out with friends and wet the bed they become victimized by their problem regardless of the cause. Parents often become confrontational because of the frustration they encounter with the nocturnal activity of changing nightclothes and bed linens. When these things happen the enuretic child can and often does have difficulty coping and will develop alterations in mood or conduct.
Physicians now have a variety of successful medical treatments for bed-wetting.
If bed-wetting is impacting the sense of well being for a child then valid medical treatment is in order. Deliberate bedwetting is usually associated with a psychosocial disorder and should be evaluated and treated similarly to daytime enuresis. Daytime enuresis or soiling with urine can be quite a different problem. Medical attention should be initiated early where disorders of the urinary tract can be discovered and treated. When there is no organic cause found, the problem usually enters the realm of mental or psychosocial disorders.