Hi Mike
My family doctor told that in my late 50's when I had to get up twice a night and the count of wet nights increased to 1 per month, after he realized my past records about enuresis : 8 years ago I had to make a decision about prostate surgery.
I was an every night bedwetter till 13 ant it was over 3 months after I turned 15.
None of my parents had bedwetting issues, but on my mother side one aunt and one cousin. I have three sons, the second one was enuretic till 14.
As a kid and teen untill 13, I was forced into plastic pants and diappers. Up to 8, It didn't bother me that much, at this age we moved to another home, and the pain and shame to wear diappers to bed increased more and more. As I started to have dry nights, no more diappers: the solution was a large bath towel over the vinyl sheet (I was then responsible to bring my beddings and PJ's to the washer and start it) I could sleep very well in a soaked bed, except on cold weather if my blanket slept appart.
At 14 I was still peeing the bed more than 15 nights per month, then I had the bedwetting alarm during 3 months (terribly harsh the first 2 weeks !) but it helped : not totally over, but the last year I only wetted once or twice a week, I got my first totally dry week, and before 15, my first totally dry month.
The confort of modern breathable plastic pants and shapped diappers have nothing to do with what I had to wear in the late 60's (a stove in hot weather and the terrible amonia smell in the morning).
I also consider NOW as a practical solution to wear diappers to bed (and only seldom at day time: ie full days out of home with no guarranty of a fast access to rest rooms). But just after my prostate surgery 7 years ago, I found it terribly humiliating to have to wear them both nights and days especially in the workplace before my retirement.
Whatsoever I consider myself as lucky: I still have a majority of dry nights, I am almost dry at day time and I have no fecal incontinence at all.