Bedwetting is also called “nocturnal enuresis” and is when urine is expelled during the sleep window. Most children first learn to use the bathroom effectively during the day and staying dry at night comes later. We typically do not diagnose “nocturnal enuresis” before 7 years old unless there is a significant mood reaction or impact on functioning. Many times, our urologist will first rule out any underlying medical symptoms which might contribute to bedwetting when patients present with these symptoms at a sleep clinic. Common triggers for increased frequency of events can include: stress, illness, sleep loss or underlying medically-based sleep disorders. Sleep apnea can be a common comorbid symptom in the space underlying medically-based sleep disorders. If all else is ruled-out, we often work on behavioral strategies including: making sure to urinate before bedtime, minimize full glasses of fluid after dinner, scheduled awakenings (i.e., parent wakes up child 30 minutes prior to common timing of event to use the bathroom) and bell & pad (i.e., bedwettingstore.com). If behavioral strategies are not effective, prescription medications are also sometimes considered for support.