Prof. Dr. Ubirajara Barroso, Jr., MD, PhD, is a distinguished pediatric urologist and a leading global authority in the field of nocturnal enuresis (bedwetting) and reconstructive urology. With a PhD from the Federal University of São Paulo and recognition as a CNPq Level 2 researcher, Dr. Barroso has dedicated his career to understanding and treating pediatric urinary conditions with deep clinical expertise and profound empathy.

As a renowned academic and clinician, Dr. Barroso has authored over 200 peer-reviewed publications and serves as a pillar in the urological community. He approaches bedwetting not as a behavioral problem or a child’s fault, but as a recognized medical symptom that demands compassionate, evidence-based care.

Clinical Pearl: Always remember that bedwetting is never the child’s fault. It is a medical condition, highly hereditary in nature, often resulting from a combination of deep sleep, nocturnal polyuria, or a small functional bladder capacity.

Clinical Philosophy

Dr. Barroso’s clinical philosophy emphasizes that while approximately 15% of children spontaneously outgrow bedwetting each year, active treatment is crucial. Waiting for spontaneous resolution can take a toll on a child’s self-esteem and family dynamics. Active, supportive interventions - ranging from the “Waking Up Dry” program’s bladder exercises and alarms to medical therapies - expedite the process and protect the child’s emotional well-being.

Dr. Barroso advocates for comprehensive treatment plans that incorporate advanced lifestyle and behavioral tactics. He emphasizes the importance of double voiding (peeing twice before bed to completely empty the bladder) and strict dietary restrictions, such as limiting bladder irritants like caffeine, colas, chocolate, citrus, and sugary drinks in the evening. Furthermore, his research recognizes the impact of psychological triggers (stress, emotional trauma, or life changes like moving or divorce) specifically in cases of secondary enuresis. For complex pediatric voiding dysfunction and adult cases, he also highlights the crucial role of pelvic floor rehabilitation (Kegel exercises and pelvic push-ups).

“When to See a Doctor” Red Flags

A core component of Dr. Barroso’s educational outreach is ensuring families recognize when bedwetting signals a more serious underlying issue. He strongly advises immediate medical consultation if any of the following red flags are present:

  • Bedwetting accompanied by pain during urination (dysuria).
  • Pink, red, or blood-tinged urine.
  • Extreme thirst and large-volume urination (indicating potential diabetes).
  • Loud snoring with breathing pauses (obstructive sleep apnea).
  • New onset of secondary enuresis after being dry for 6+ months without obvious stress triggers.

Research and Academic Leadership

Throughout his extensive career, Dr. Barroso has focused heavily on the mechanisms of nocturnal enuresis and reconstructive urology. His work continuously aims to destigmatize pediatric bedwetting and provide families with practical, actionable, and medically sound solutions.

Please note: The educational content provided on this site reflects Dr. Barroso’s clinical perspective and research but does not substitute for a direct doctor-patient relationship or individualized medical advice. Please review our Medical Review Policy and Terms of Use for more details.