Patient's question:
What treatment is available for enuresis caused by a sacral vertebral crypt?Patient: Male, 5 years old. The child has been experiencing enuresis for a long time, with small urine volume but frequent urination. They frequently wet their pants during the day and night. A thorough examination at the hospital revealed a sacral vertebral crypt. Specifically, the sacral 1 and 2 arches are incomplete.
What kind of help is needed: How should enuresis be treated? Is surgery necessary?
Doctor's answer:
If a thorough examination reveals that the child's urinary incontinence is caused by this sacral dysraphism, it's important to pay attention. Avoid letting the child maintain the same posture for a long time, such as standing, sitting, bending, etc., and also prevent intense exercise. If the condition is not severe, treatment may not be necessary. It could be that the child is too young, and it may improve as they grow older. However, it is crucial not to scold or criticize the child after each episode of incontinence. Such behavior will only increase their psychological stress, which will be of no help to the condition and may even worsen it.