- With Mayo Clinic urologist
Erik Castle, M.D.
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Erik Castle, M.D.
Erik Castle, M.D.
Dr. Erik Castle is a board-certified urologist who joined the Mayo Clinic staff in Arizona in 2007.
Dr. Castle is an associate professor of urology at College of Medicine, Mayo Clinic, and a senior associate consultant in the Department of Urology, where he also is assistant residency coordinator.
He was an assistant professor in the Department of Urology at Tulane University in New Orleans from 2004 to 2006 after serving as a clinical instructor/fellow at Mayo Clinic in Arizona for one year.
Dr. Castle's research interests include prostate cancer, bladder cancer and kidney cancer. He is the director of the Desert Mountain Prostate Cancer Research Fund and is the principal investigator of Castle labs housed at the Samuel C. Johnson Medical Research building at Mayo Clinic in Arizona. His basic science research is focused on novel secondary hormonal therapies of prostate cancer as well as genomics of prostate and bladder cancer.
His surgical expertise includes laparoscopic urology, robot-assisted radical prostatectomy with nerve sparing, robot-assisted radical cystectomy with neobladder, robot-assisted retroperitoneal lymph node dissection, robot-assisted partial nephrectomy and other robotic urologic oncology procedures. He has performed many of these procedures as demonstrations internationally. He is a member of the American Association of Clinical Urologists, the American Urological Association, the Endourological Society, and the Society of Laparoendoscopic Surgeons. He is president of the international Society of Urologic Robotic Surgeons. He is also the director of the international laparoscopic nephrectomy courses throughout Mexico on behalf of the American Urologic Association.
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Question
Adult bed-wetting: A concern?
My 24-year-old husband has started to wet the bed at night. What causes adult bed-wetting? Should we be concerned about this?
Answer
from Erik Castle, M.D.
Bed-wetting that starts in adulthood (secondary enuresis) is uncommon and requires medical evaluation. Cause may include:
- Diabetes
- Urinary tract infection
- Urinary tract stones
- Prostate enlargement
- Bladder cancer
- Obstructive sleep apnea
- Neurological disorders
Rarely, acute anxiety or other emotional disorders may be the cause of adult bed-wetting. A doctor may be able to identify the cause of adult bed-wetting based on:
- Medical history
- Physical examination
- Urine tests
- Urologic examinations and tests
- Neurological evaluation
Treatment of adult bed-wetting is directed at the underlying cause, when possible.
