Nighttime Bed-wetting 4–5 Nights in Pediatrics — 8yo Child | General Pediatrics | SMLE Q#18288
SMLE Question #18288
Pediatrics
General Pediatrics
Objective: OBJ-ENURESIS-001
Last updated: February 2026
An 8-year-old boy is brought to a primary care clinic for nighttime bed-wetting 4–5 nights per week. He was toilet trained during the day at age 3 and has never been consistently dry overnight. He has no daytime incontinence, urgency, dysuria, weak stream, constipation, snoring, or behavioral concerns. Physical examination, including external genitalia and neurologic examination, is normal. He is started on a bed-wetting alarm as first-line therapy. Which pelvic muscle group is most directly responsible for voluntary urinary continence?
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