Enuresis and Pathological Deep Sleep: by Lyle Danuloff, Ph.D

In their article, published in Neuropsychiatric Disease of Treatment, Esposito et. Al concludes from this study that enuresis “alters” the bedwetters “sleep architecture” or could (it does) itself be the consequences of an abnormal sleep structure”.  The article also states that enuresis produces a potential increase in the risk of developing sleep disorders.


The author’s conclusions, based upon either flawed understanding in the study or insufficient knowledge about bedwetting, are in fact the opposite of what we have found after 40 years of treating bedwetting.  Enuresis does not cause sleep abnormalities (pathological deep sleep and the brain’s failure to rouse itself when the urge to empty is requested of it from the bladder) causes enuresis.


Bedwetting can be successfully treated only by addressing the underlying deep sleep disorder.


Lyle Danuloff, Ph.D., Clinical Psychologist





Author Esposito M, Gallai B, Parisi L, Roccella M, Marotta R, Lavano SM, Mazzotta G, Carotenuto M


Primary Nocturnal Enuresis As A Risk Factor For Sleep Disorders: an Observational Questionnaire-Based Multicenter Study



Introduction: Primary nocturnal enuresis (PNE) is a common problem in developmental age with an estimated overall prevalence ranging from 1.6% to 15%, and possible persistence during adolescence. There is a growing interest in the sleep habits of children affected by PNE, which is derived from the contradictory data present in clinical literature. The aim of the present study was to evaluate the presence of sleep disturbances in a population of children affected by PNE, and to identify whether PNE could be considered as a risk factor for sleep disturbances among children.


Conclusion: Among PNE children, sleep could be strongly altered, thus helping to affirm the hypothesis that PNE tends to alter sleep architecture, or it could itself be the consequence of an abnormal sleep structure. The findings also point to the existence of a potential increase in the risk of developing sleep disorders in the presence of PNE.

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