M.O.P. for Teens and Tweens

Did you know teenage bedwetting is more common than autism?

That's right. About 1 in 50 teens have enuresis. About 1 in 54 kids have autism. But bedwetting in older kids carries such a stigma that you never hear about it.

Teens with bedwetting and/or daytime accidents have a treatable condition that simply has not been treated properly. Instead, these kids are assured, year after year, “Don’t worry, you’ll outgrow it.”


Of course they worry!

We can help. It is absolutely NOT too late to successfully enuresis and encopresis in teens.

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M.O.P. for Teens and Tweens: The Science-Based Way to STOP Bedwetting for Teens and Tweens


"My son is 14. Your teen book made a huge difference with his complete buy-in to M.O.P."
  —Member of our private FB support group for parents of teens

Where to Begin

1. Read our FAQ for teens and tweens.

2. Read this article: Teenage Bedwetting: Everything You've Been Told is Wrong

3. Purchase M.O.P. for Teens and Tweens for your child.

4. Read the M.O.P. Anthology.

5. Join our private support group for parents of kids ages 10 to 18.

Facebook Support Groups

$68 for the first month and $34 a month thereafter.

Frequently Asked Questions About Teens and M.O.P.

Questions About M.O.P. and Teens

What bedwetting treatment do you recommend for teenagers?

M.O.P. — the same enema-based regimen we recommend for younger children. Whether a child is 5 or 15, enuresis has the same cause: chronic constipation. The rectum, enlarged by a chronic pile-up of stool, presses against and aggravates the bladder, triggering spasms the child cannot control. Only when the rectum is cleaned out every day for months — with a combination of enemas and oral laxatives — can it shrink back to size and stop bothering the bladder. That’s when accidents stop. M.O.P. also resolves encopresis (poop accidents) and chronic urinary tract infections.

I'm skeptical that constipation is the cause of my child's bedwetting, especially since my child is a deep sleeper. My child has never shown signs of constipation. How can we know for sure?

Get an x-ray! X-rays don’t lie. Have your physician order a KUB (for kidneys, ureters, and bladder), and ask for a measurement of rectal diameter, as explained in the M.O.P. Anthology. If your child’s rectum measures more than 3 cm., the child is chronically constipated, and M.O.P. is warranted. If you'd like Dr. Hodges to evaluate our child's x-ray, take a photo of the x-ray with your phone, so you have a .jpg. Members of our private Facebook support groups can post x-rays in the group.

Bedwetting is never caused by deep sleep, as we explain in the M.O.P. Anthology and M.O.P. for Teens and Tweens. Even severe constipation often goes unrecognized. The methods doctors use to diagnose constipation — a patient history of pooping and feeling the abdomen — are useless.

For teenagers, how long does it take for accidents to stop on M.O.P.

Teens with enuresis should plan to be on M.O.P. for at least 6 months. Many teens need to be on M.O.P. for a year, though they should see major improvements along the way.This does not mean 6 months to a year of daily enemas; at some point, teens will shift to doing enemas less often and then simply take oral laxatives.

Enuresis in teens usually takes longer to resolve than enuresis in younger children because the rectum has been stretched — and the bladder nerves aggravated — for several additional years. M.O.P. requires experimentation and perseverance. It is not a quick fix.

Encopresis in teens generally resolves quickly, almost always within a month.

Can teens give themselves enemas, or does a parent need to be involved?

Teens can self-administer enemas, and most prefer that, but some feel more comfortable with a parent in the room. M.O.P. for Teens and Tweens provides instructions for teens to give themselves enemas and includes tips from experienced teens.

It is important for teens and parents to communicate during the M.O.P., as it is a trial-and-error process that requires adjustment over time. Most parents of teens keep a tracking chart (provided in the M.O.P. Anthology) of their child’s symptoms. M.O.P. for Teens and Tweens includes a simplified tracking chart for teens.

What if our doctor is not on board with M.O.P.?

You can implement the regimen on your own, as most families do. All the supplies are available on online and do not require medical expertise to administer. Detailed instructions for following M.O.P. are provided in the M.O.P. Anthology, and instructions and encouragement specifically for teens is included in M.O.P. for Teens and Tweens. For additional guidance and input, from Dr. Hodges and other parents of teens, our private Facebook support group for parents of teens and tweens is an excellent resource. The group is hidden — nobody can even find it in a search, let alone read the posts, unless personally invited by Suzanne Schlosberg.

Another option is to have a 30-minute, one-on-one Facetime, Skype, or phone consultation with Dr. Hodges.

Why didn’t my child outgrow bedwetting, like most kids do?

At least 10% to 30% of kids around the world are constipated, but some kids’ bladder nerves are just more sensitive when pressed on by the rectum. In other words, one child’s bladder might hiccup when the rectum is only slightly stretched and barely touching the bladder, whereas another child might not experience bedwetting unless the rectum is stretched to triple the normal diameter and is crushing the bladder.

The constipated kid with the less sensitive bladder may never develop enuresis or may stop wetting with small improvements in constipation. For example, maybe the child switches to a school with a cleaner bathroom or has a teacher who’s more lenient about bathroom passes or simply becomes more comfortable pooping away from home. There are lots of reasons kids might become less constipated over time and less prone to bedwetting.

But some don’t and need a treatment such as M.O.P.