I am almost 40 years old and suffer from adult nocturnal enuresis, the medical term for bedwetting. The following letter describes some of my experiences dealing with this disorder and my thoughts and feelings on the use of diapers to manage the problem. I think that some of my ideas might seem controversial, but I feel many people probably feel the same way but they're afraid to say so. I realize this letter is long-but I feel that many of these ideas bear repeating. I thought that by sharing some of my experiences it might help people come to terms with their use of diapers to manage bedwetting. I think most people would agree that it's best to try find a cure for bedwetting as opposed to relying on a diaper-but not everyone can be cured of bedwetting. I have spoken to parents and have read about parents who in many cases have found disposable diapers to be more absorbent than "Goodnites" or pull-ups. I have also heard about situations where parents prefered pin-on cloth diapers and plastic pants for bedwetting due to the savings and absorbency levels. However in most cases the children have resisted. You ever tried convincing a 15 year old to wear pin-on cloth diapers and plastic pants to bed? Trust me, it's not easy! I think achieving world peace would be easier! People need to realize that bedwetting is a very common condition and that in some cases diapers are the best option. Every child grows at different rates-some walk sooner than others, some talk sooner than others, some learn to read sooner than others-why should a child's need for diapers be any different? We all know what the function of wearing a diaper is, so it shouldn't make a difference whether you're 2 or 102 the purpose is still the same. Unfortunately when you mention the word diaper to most people the image that immediately comes to mind is that of a baby. Most people think that a diaper and plastic pants is something to be outgrown like a high chair or a bib (Of course they make bibs for adults so even this image is wrong). How many times do parents tell their children-"Pretty soon you won't need diapers anymore and you'll wear regular underwear just like a grownup-we're so proud of you!" or "You're still in diapers-don't you want to be a big boy and make mom and dad proud of you?" How is this supposed to make a child feel? He or she already feels bad enough about wetting the bed but this just makes him or her feel worse. I think parents use this tactic in order to try to encourage their children to try to wean them from diapers and motivate them to achieve night dryness, but it's my firm opinion that this could make the situation worse. As I said before, children grow at different rates and some need diapers later than others-a person's maturity or being "grown up" has nothing to do with a person's bladder or need for diapers. According to this reasoning all the millions of people wearing diapers and plastic pants are babies. I also think that in some cases parents want to take their kids out of diapers as soon as possible because they feel it reflects badly on them-they feel ashamed about their son or daughter still being in diapers. Everybody is so obsessed with their child being perfect and keeping up with the joneses they forget about their child's feelings in the process. Almost all of the books I have read dealing with nocturnal enuresis (There are exceptions-thank God some people have the courage to go against the grain) counsel against using diapers for bedwetting. In fact one book had the following to say: "I've known parents that have kept their kids in diapers at night as late as 7, 8, 9, and even 12 years of age, but wearing diapers makes a child feel like a baby." The book also said-"Diapers are a symbol of babyishness." I thought that was a very ignorant thing to say considering the fact that many adults have to wear diapers. I can't understand where this prejudice against using diapers came from-if anything it's more babyish if you don't wear a diaper. By wearing diapers a child or adult is taking the appropriate steps and demonstrating the maturity to manage a health problem. Furthermore diapers by themselves don't represent babyisness-after all babies can't clothe, bathe, or feed themselves. Most pediatricians and doctors advise against using diapers also, saying-"only babies wear diapers!" While I believe that a person should explore all treatment options before resorting to diapers, if all of them have proved unsuccessful, then diapers should be used. In fact physicians and pediatricians should encourage, not discourage the use of diapers if all other treatments have failed- afterall it's much more sanitary and healthy (not to mention comfortable) wearing diapers as opposed to waking up in a flooded bed! I don't want to make it seem that I think that diapers are the only way to go or that a person should just use diapers and ignore possible treatment options-that's not what I'm saying at all. I'm just saying that with some people and in some cases and circumstances diapers might be the best, preferred, or only option. As with everything else in life there's no such thing as a one size fits all solution. I also believe that if a person has fully considered all the treatment options available and comes to the conclusion that using diapers and/or plastic pants are the best method to use, he or she should not be stigmatized for that choice. Ultimately the decision to use or not use diapers should be up to the individual and his or her decision should be respected. When I was growing up I tried medicines, alarms, and other methods to try to stop bedwetting but none of them worked. After many miserable nights of waking up in cold, soaking wet pajamas and bedding I asked my mom if I could start wearing diapers again. I was relieved when she said yes. They didn't have pull-ups or "Goodnites" when I was growing up, so I had to wear adult size disposable diapers to bed. They looked and fit just like the Pampers the babies wore with the tapes and elastic leg gathers so as you can imagine I got teased unmercifully. Still I didn't mind wearing them as it was only at night that I had to put them on and they made me feel much more comfortable and secure. When I was 14 my younger sister had some friends over for a slumber party. I had just diapered myself and was already to go to bed when I realized I had to get something. Naturally when I walked you could hear me coming a mile away! My sister's friends heard the crinkling sound of the diapers under my pajamas when I walked. When I moved around in the room I heard them snickering. After I left they started giggling and they made the following remarks: "Did you hear that he's wearing diapers-he's 14 years old he's way too old to be wearing diapers!" another said-"I wonder if he has to sleep in a crib or eat in a high chair!" Another incident happened when I was 16 and spending the summer at my aunt's house. I also wore pin-on cloth diapers covered with plastic pants to bed. None of my younger cousins had problems with wetting the bed so it was kind of embarrassing. My younger cousins saw my plastic pants hanging up to dry and made fun of my "baby pants." Another time when I was 15 I was at the beach and had to share a room with one of my older sisters. Her friends were also staying with us and were constantly in and out so it was impossible to be discreet about my diaper wearing. I had a stack of disposable diapers on the nightstand next to my bed. One of the girls picked one of them up and said-"Isn't your brother a little old to be wearing Pampers?" then one of the others said-"We'll take turns changing him!" then they all burst out laughing. Why is that diapers are considered acceptable for the elderly, special needs children, or people with disorders such as cerebral palsy, multiple sclerosis, spina bifida, or Alzheimer's disease, but are not acceptable or taboo for older children and adults that wet the bed? This to me seems totally illogical-after all enuresis is a disease also and like any disease it should be managed. I had contacted Tranquility some time ago with an idea for a commercial for their "All Through the Night" disposable briefs but they never responded. Maybe they feel that an older child would be embarrassed about wearing a diaper. Of course with the negative image diapers have who can blame them? All the ads for pull-ups have the following motto-"I'm a big kid now!" The implicit (or maybe not so implicit) message or assumption is that only babies wear diapers. I have some theories as to why some parents call diapers babyish. I believe that some parents call diapers babyish in an attempt to motivate their child to stay dry at night so that he or she can wear "adult pants like mom and dad." Of course we all know that the road to hell is paved with good intentions. I think that this puts a lot of pressure on a child and most likely will exacerbate the situation. If a child or adult feels comfortable using diapers to manage bedwetting they should be allowed to use them no matter how old they are-otherwise you do more harm than good. I've also heard a theory that if a child or adult uses diapers to manage bedwetting there's no incentive to stay dry-the diaper is viewed as a security blanket. While this could be the case with some people, I believe most children and adults don't want to wear diapers forever. I wear pin-on cloth diapers covered with plastic pants to bed and will probably wear them for the rest of my life. Although I feel more comfortable and secure wearing them (as opposed to waking up in a soaking wet bed) I certainly don't view them as a crutch-I view them as a tool to manage a health problem. A third theory I heard is that if you let a child wear a diaper you are sending a message that it's okay to wet the bed. Jeez! What type of reasoning is that? I think it sends the message that the parents will provide you with a garment to make you feel as comfortable as possible either until a cure is found or until you outgrow it. Another theory I heard is that the use of diapers and plastic pants to manage bedwetting for an older child or adult is degrading. Personally I think it's more degrading to sleep all night in wet clothes and bedding. Diapers and plastic pants in my opinion should be viewed no different than wheelchairs, crutches, sanitary napkins for women, eyeglasses, or braces for the teeth. In fact many adults wear braces for the teeth but we don't stigmatize them like we do with older children and adults that wear diapers for bedwetting. I know with how people have been brainwashed this may seem hard to fathom, but many people might actually prefer to use diapers or plastic pants for bedwetting as opposed to medicines with potential side effects, alarms(which many people sleep through, can disturb a person's sleep cycles, and can frighten some children),or expensive and/or potentially risky surgical procedures. Sometimes the cure is worse than the disease. I personally have no problem whatsoever with wearing diapers and plastic pants to bed. There are people who suffer from painful, chronic, and debilitating physical and mental disorders. If all I have to do is sleep in cloth diapers and plastic pants a few hours a night I think I'm pretty lucky. As I mentioned many people are surprised (more like stunned) that a person would prefer to wear diapers to bed. What people don't understand is that it can be more distressing going to countless doctors(which includes the embarrassment of discussing the problem in the first place),having numerous tests and procedures done, and the time consuming task of researching possible cures. With all the hassle and stress this entails it's no wonder that some people might prefer to wear diapers to bed-after all unlike daytime incontinence it's easier to conceal the use of protection. Plus the only people who know you're wearing diapers or plastic pants to bed are yourself and your loved ones. A person has to decide for himself to what extent a problem is causing distress. The same is true for a problem like bedwetting. If the problem is bothering them then by all means try to solve it, but if he can live with it then it's best to try and manage it as best as you can. That is why I prefer to wear diapers and plastic pants to bed. In a similar vein sometimes it's just best to let nature take its course. For example I knew a woman who tried desperately to cure her son's bedwetting to no avail. He seemed real upset about the whole thing. Finally she offered him some diapers to wear to bed and he seemed to feel better about the whole situation. He knew that most children eventually outgrow the problem and he didn't think it was a big deal. It turns out that he was more stressed out by all the constant effort and activity expended on trying to cure him than just letting nature take its course. As I said before a person has to decide for him or herself how distressing a problem is and then either solve it if it is bothering him or manage it as best as one can if it's not. I think that the best way to deal with an older child who is reluctant to wear diapers or plastic pants to bed is to approach him or her in a calm, warm, and loving way and tell them something along these lines: "You shouldn't feel ashamed about wearing diapers to bed-many older children and even adults wet the bed and many of them have to wear diapers to bed also. They wouldn't make diapers and plastic pants in your size if there wasn't a need for them-we think you'll be more comfortable and secure wearing diapers to bed." I had a friend who was in a car accident who used diapers for a while. She told me that you use a crutch for a broken arm, well a diaper is a crutch for a broken bladder. Humor definitely helps in these situations. One time I told a female friend of mine that I'm going to have to start wearing a raincoat to bed and cover the bed with a tarp. We as a society have come a long way when it comes to many personal issues and problems, but an older child or adult wearing a diaper or plastic pants to bed is still taboo. We need to grow up! Unfortunately we live in a very unenlightened society. I suspect other cultures and societies still think in the same backward way when it comes to this issue. In my opinion the people who call diapers babyish are the real babies-they're not grounded and mature enough to realize that some people have medical problems and need them. People need to be more compassionate about this matter. It's time we all stop being so uptight and have a sense of humor about it! On that note I have to go-I have to buy some flood insurance for my bed! Like I said I realize this letter is long-but I feel it brings up many important