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Center for Enuresis and Urinary Disorders

The Center for Enuresis and Urinary Disorders at Nicklaus Children's Hospital, formerly Miami Children's Hospital, offers a comprehensive approach to the diagnosis and treatment of a wide range of dysfunctional urinary disorders in children, including:

  • Nocturnal enuresis (bed wetting)
  • Diurnal enuresis
  • Vesico-ureteral reflux
  • Urinary tract infections

Team of Specialists

The team, led by board-certified pediatric nephrologist Dr. Anselmo Cepero-Akselrad, Director of the center, offers a multidisciplinary approach to complex conditions and is highly experienced in working with children and families to address urinary disorders.

 Anselmo Cepero-Akselrad, M.D.

Director of Pediatric Nephrology
Coral Gables

† This physician is not employed by Nicklaus Children's Hospital, formerly Miami Children's Hospital.


Nocturnal Enuresis: Not an Uncommon Problem

One of the most common conditions for which families seek treatment is enuresis, which is the medical term for involuntary voiding of urine beyond the age of anticipated control.
Between five and seven million children – most of them between the ages of 6 and 16 – suffer from primary nocturnal enuresis. This disorder affects up to 10 percent of 6-year-olds and only 1 to 2 percent of adolescents and adults.
Nocturnal enuresis runs in families. Approximately 75 percent of children with enuresis have a relative with the disorder and approximately half have a parent or sibling with the condition.
The good news for families experiencing the frustration of enuresis in children is that the disorder is highly treatable. The staff at the Center for Enuresis and Urinary Disorders has helped many children develop the ability to stay dry through the night. 

Diagnosis and Treatment

During a child’s initial visit to the center, the staff will complete a comprehensive patient and family history and detailed physical examination. Depending on the urinary dysfunction, treatment could range from behavioral modification to pharmaceutical approaches. On average, a child will visit the center three to five times per year during the course of treatment.
For complex disorders, a multidisciplinary team approach to treatment may be required. Nicklaus Children's Hospital, formerly Miami Children's Hospital, surgeons, urologists, adolescent medicine specialists, neurologists, gastroenterologists, and other sub-specialists can be called upon as needed.
The Center for Enuresis and Urinary Disorders considers the referral source a partner in treatment and will always be pleased to communicate with, and include the referral professional in the treatment team.

What is Urodynamics?

Urodynamics is the measurement of functional processes in the lower urinary tract, mainly the bladder. With the help of these tests it is possible to diagnose various types of “incontinence” and to follow with appropriate therapy. All urodynamic examinations are regulated by standardized methods recommended by the International Continence Society and each urodynamic testing is conducted by a certified and experienced technician under medical supervision.

Combining Clinical Excellence with Highly Personalized Attention

Patient care at the Center for Enuresis and Urinary Disorders is provided by a team of highly trained, very caring professionals. The center treats children in a family-centered environment, recognizing that while medicine might heal the child’s body, tending to the child’s sense of well being is equally important. The family is involved in the child’s treatment, and each patient finds special support in meeting the challenges of his or her condition.

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