My 13 year old still wets the bed. Over the years we have tried alarms, medication, waking him up at various times, controlling his drinking, charts (behaviour modification). He hates it and wants to stop. He can sometimes stop for a couple of nights - he has been on school camps and managed two - but always starts up again. (And I suspect then he doesn't sleep properly to stop himself going into a deep sleep.) He does his own laundry. He has been checked to see if there is anything physically causing the problem. Does anyone have any advice?
By whom? It sounds like it's past time to see a specialist about this, or a different one if you've already seen one.
For our daughter (7 right now), we have to use a multi-pronged approach:
No wait, the most important thing is to not get upset, disappointed, or frustrated with him. I'm sure that he hates this (and possibly, by extension, himself) at least as much or more than you do. I also know that this is easier said than done -- I'm sure I'm not the most pleasant person in the world when I'm being shaken awake at 3 a.m. to help change sheets.
Another thing to look into is if there's any other sources of stress in your son's life. There's a possibility that there's something else going on in his life that's really bothering him and bed wetting is an expression of that strong emotion. However, getting that information may be easier said than done with a 13 year old.
My boy was waking up wet a lot older than is typical, and here is what we did. We happened to have some plastic graduated beakers that held about 800 ml and were clearly marked to measure volume. I showed him how to read the volume on them and we kept them in the bathroom. I encouraged him during the day, when he was home and could go to the bathroom whenever he wanted to, to try to hold it a little longer each time and see what he could get that volume up to. This is sometimes described as "bladder stretching" but I think it was really more about being aware of the sensation of needing to pee, but not immediately peeing in response to it. We are talking about a child old enough to understand 3 digit numbers, a child who goes to school and goes on sleepovers etc. Not a 3 year-old, more like 5+ or 6. Old enough to pee into a cup, note the number, pour the pee into the toilet and rinse the cup.
The theory was that over time, he would not just pee while asleep, but would resist the urge until it got a little stronger, strong enough to wake him up. And in the meantime he would feel that he was doing something towards waking up dry.
Did it work? Of course. Well, something worked. Perhaps time passed and his bladder got larger. Perhaps he learned to wake up or he learned to sleep through. Perhaps doing something about it got the message across that he could change this, without making him feel bad for what was happening. Whatever the cause, he began to wake up dry more often than not, and then the whole thing was just a memory.
Certainly a teen is old enough to buy into something like this. It's not behaviour mod or sleep alarms, and clearly he has either less bladder capacity than those who can sleep through, or less awareness of the need to pee than those who wake up. So perhaps such an exercise can help.
If there's no medical reason for the bed wetting I would persist with an alarm style system to wake the child up when they begin to wet the bed. I had the same problem for many years (into my early teens) and went to the doctors frequently but no issues were found, I tried several medicines to no effect. My parents tried most of the tactics regarding recording good/bad nights etc and from personal experience it does nothing but make your child feel uncomfortable or bad about something they have no control over and want to stop doing anyway.
I went to an enuresis expert and got a little liquid sensitive alarm that you simply put between two pairs of underwear and attached the buzzer to a pyjama top. As soon as the alarm wakes you up you recognise the feeling of a full/bursting bladder and also stop peeing. After a fairly short time my body learned not necessarily to wake up to go for a pee per say but NOT to relax and start going when the bladder was full. It didn't change my sleeping pattern at all.