7 Ways to Manage Adult Nighttime Incontinence (Nocturnal Enuresis)

Woman in bed

Key Takeaways:

  • Understanding the causes of your nighttime incontinence is essential to discovering the best treatment options for your situation.
  • Exercise, medication, and incontinence products can help you regain control of your symptoms and improve your quality of life.
  • Using Aeroflow Urology to get specialized bladder control supplies through insurance can ensure a comfortable and confident night's sleep, helping you wake up refreshed and ready for the day.

Nighttime incontinence is a condition characterized by the involuntary leakage of urine during sleep.

While commonly associated with children, this condition can also affect adults, leading to disrupted sleep, embarrassment, and a diminished quality of life.

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If you're an adult experiencing bedwetting, know that you're not alone, and there are effective ways to manage and treat this condition.

Jump To:

What Is Adult Nighttime Incontinence?

Symptoms of Nighttime Incontinence In Adults

Causes of Nighttime Incontinence In Adults

How Is Nighttime Incontinence Diagnosed?

7 Treatments for Nighttime Incontinence In Adults

Best Adult Products for Nighttime Incontinence


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You will also receive the care and attention every person managing incontinence deserves: A personalized list of 100% insurance-covered incontinence supplies, a dedicated Continence Care Specialist you can contact during business hours, a user-friendly online portal for easy monthly reordering, and educational content.

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7 ways to treat nighttime incontinence infographic7 ways to treat nighttime incontinence infographic

What Is Adult Nighttime Incontinence

Nighttime incontinence, or nocturnal enuresis, is a bladder control condition that can develop in children and adults. It results in nighttime urine leakage or bedwetting, even in adults.

Symptoms of Nighttime Incontinence In Adults

  • Unintentional leakage of urine at night.
  • Waking up with wet clothes or wet sheets at night or in the morning.

Causes of Nighttime Incontinence In Adults

There are a few different causes of bedwetting in adults.

Overactive Bladder

Overactive bladder (OAB) is a type of urinary incontinence, with the primary symptom being the frequent, sudden, and intense urge to empty your bladder, resulting in leakage. Bedwetting may be a result of undiagnosed or unmanaged OAB since your bladder may empty at night.

Hormone Conditions

Your body produces an antidiuretic hormone called ADH during the night. ADH slows down your kidneys when you sleep, decreasing urine production. If you're experiencing bedwetting, it could be a sign that your ADH production is too low.


Diabetes is a risk factor for urinary incontinence, enuresis included. Part of this is due to hormonal issues related to ADH among those with type 1 and type 2 diabetes.

Sleep Apnea

Bedwetting can be a side effect of obstructive sleep apnea (OSA). With OSA, your airway may be blocked, leading to disrupted sleep and, frequent urination and bedwetting at night.


Certain medications, such as anti-psychotic medicines, can sometimes cause bladder issues, such as bedwetting.

Enlarged Prostate

Enuresis is a known side effect of enlarged prostate or benign prostatic hyperplasia (BPH) in men.


Certain foods irritate the bladder, including spicy foods and tomato-based products. Drinks like alcohol and caffeine are diuretics, causing urine to produce more quickly in the body. Eating or drinking bladder irritants near or before bedtime may cause bedwetting.

Urinary Tract Infection (UTI)

Feeling the sudden and intense urge to urinate frequently is a common symptom of UTIs, so leaving one untreated could result in nocturnal enuresis.

Neurological Conditions

Dementia, Alzheimer's disease, and other neurological conditions disrupt the signals from the brain to the bladder, which can cause bedwetting at night.

How Is Nighttime Incontinence Diagnosed?

If you're experiencing bedwetting, speak with your healthcare provider about your symptoms and medical history. Your provider should be able to run tests, such as a urinalysis or a urine culture, to diagnose your condition correctly.

7 Treatments for Nighttime Incontinence In Adults

1. Identify the Underlying Cause

Speak with your healthcare provider about your symptoms so they can help you identify any underlying conditions, such as diabetes, sleep apnea, or medications that may be causing bedwetting.

Once you've ruled out any medical conditions, you can make a plan with your provider to stop nighttime incontinence.

2. Pelvic Floor Muscle Exercises

Pelvic floor exercises may help stop bedwetting if weak pelvic floor muscles cause your incontinence. Both men and women can do these exercises easily at home!

3. Bladder Retraining

Bladder retraining may be helpful if you wet the bed due to an overactive bladder. The process consists of holding your urine for 5 minutes after you feel the urge to empty your bladder, then increasing that time by 5 minutes after you can hold your urine for the previous 5 minutes. 

Bed with wet sheetsBed with wet sheets

Eventually, your bladder will be able to hold more urine.

4. Bedwetting Alarms

Bedwetting alarms aren't just for kids! Adults can use these products to help wake them up when wetting the bed by signaling an alarm when moisture is detected.

5. Dietary Changes

To slow urine production while you sleep, be sure to omit alcohol, caffeine, and any other bladder-irritating foods near or before bedtime.

6. Medications

Some medications can reduce occurrences of bedwetting by decreasing the amount of urine your kidneys make while you sleep. Speak with your healthcare provider to determine if medications are right for you.

7. Bladder Control Supplies

Bladder control products, such as overnight adult briefs, adult pull-ons, and underpads, can keep you dry at night so you can sleep soundly. Below is a list of our top products for controlling bedwetting!

Best Adult Products for Nighttime Incontinence

Bedwetting doesn't always have to result in wet clothes and sheets! Using protective adult bladder control supplies at night can keep you dry while you address the cause of your urinary incontinence.

The best part is that Aeroflow Urology provides free incontinence supplies through insurance for adults with an incontinence diagnosis and an underlying medical condition if they qualify!

If you're experiencing nighttime incontinence, fill out our Eligibility Form to determine your eligibility. You may receive the products listed below at no cost if you qualify.

Tranquility ATN (All-Through-the-Night) Adult Briefs

ATN adult incontinence product imageATN adult incontinence product image

These heavy-absorbency incontinence briefs are designed to let you sleep 'all through the night' without the need for changing, all while maintaining skin integrity.


  • Unisex
  • Overnight absorbency.
  • Suitable for bladder and bowel incontinence.
  • Leg cuffs to prevent leakage.

Prevail Air Overnight Adult Briefs

Prevail adult incontinence product imagePrevail adult incontinence product image

Prevail Air Overnight Briefs are tabbed adult diapers equipped with overnight absorbency. They offer extended-use protection, comfort, and breathability for men and women who experience heavy bladder or bowel incontinence. 


  • Unisex
  • Fast-absorbing dual core for nighttime absorbency.
  • Advanced Zoning System that targets liquid and fecal zones.
  • Skin Smart Fabric made with Aloe, Vitamin E, and Chamomile.

Cardinal Health Essentials Reusable Underpads

Cardinal health underpadCardinal health underpad

The Cardinal Health Essentials Reusable Underpad is made of absorbent, soft, and quiet materials. Unlike most disposable underpads, Cardinal Health Essentials offers a high-performance, reusable, and machine-washable underpad that retains its absorbency even after many washes. 


  • Reusable with a PVC-coated back sheet that protects surfaces from stains.
  • Skid-resistant to prevent slipping.
  • Top sheet to wick away moisture.
  • Poly / rayon core to eliminate odors.

Attends Night Preserver Disposable Underpads

Attends disposable underpadAttends disposable underpad

Attends Night Preserver Underpads feature a soft, cloth-like top sheet and a super absorbent core to promote skin health while protecting furniture and surfaces. With a 36" x 36" coverage area and leak-proof, non-slip backing, Attends Heavy Absorbency Night Preservers are ideal for everyday use.


  • Heavy absorbency.
  • Super absorbent polymer and cellulose fiber core.
  • Soft, cloth-like top sheet.
  • Leak-proof, non-slip back sheet.

Attends Premier Adult Underwear (Overnight Absorbency)

Attends adult pull-onsAttends adult pull-ons

Attends Premier Pull-On Protective Underwear is made for men and women who experience heavy to severe incontinence. It is highly absorbent and provides premium protection, even throughout the night.


  • Unisex
  • Premium overnight protection.
  • Superior leak protection to keep you worry-free.
  • High rise, full-fit protection, ultra-plush design.

Check Your Coverage for Free Supplies

With over 12K 5-star reviews on Google, Aeroflow Urology helps individuals of all ages with incontinence receive protective supplies through insurance.

Here's how it works:

1. Submit your information through our form to verify your coverage.

2. Call your doctor for a prescription for incontinence products.

3. Choose your free products online from a personalized list.

4. Reorder for free each month easily through our reordering portal.

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About the Author

Marlee Septak is the Senior Content Specialist at Aeroflow Urology and was a past Content Writer for Aeroflow Diabetes. She brings a deep understanding of incontinence and health conditions associated with it to her writing. She graduated from Columbia College Chicago and holds a Bachelor's degree in Journalism. Marlee has contributed to various magazines and blogs, including Borgen Magazine, Echo Magazine, Chicago Ideas Week, Assuaged, and Peaceful Dumpling. In her spare time, she enjoys traveling, trying new restaurants, and just sitting down with a good book.


Information provided on the Aeroflow Urology blog is not intended as a substitute for medical advice or care from a healthcare professional. Aeroflow recommends consulting your healthcare provider if you are experiencing medical issues relating to incontinence.