Daytime bladder dysfunction in therapy-resistant nocturnal enuresis. A pilot study in urotherapy

Area of Science:

• Pediatric Urology
• Childhood Incontinence Research

Background:

• Nocturnal enuresis, or bedwetting, is common in children and can stem from various factors, including bladder dysfunction.
• The
• hold pattern,
• or infrequent voiding, is one such factor that may contribute to persistent bedwetting.

Purpose of the Study:

• To identify the
• hold pattern
• in children with severe bedwetting.
• To evaluate the efficacy of increasing daytime micturition frequency (bladder training) in treating nocturnal enuresis, particularly in children with a history of failed treatments.

Main Methods:

• A pilot study involving 22 children diagnosed with severe bedwetting.
• Treatment group 1 (12 children): Focused solely on increasing daytime micturition frequency.
• Treatment group 2 (10 children): Received increased daytime micturitions combined with either enuresis alarm therapy or desmopressin medication.

Main Results:

• All children experienced a decrease in the number of wet nights after one month of treatment.
• The positive effects of the treatment were sustained in the majority of children throughout the follow-up period.
• The study observed consistent improvement across both treatment groups.

Conclusions:

• Bladder training, specifically by increasing daytime voiding frequency, shows promise as a valuable non-pharmacological intervention for childhood nocturnal enuresis.
• This approach may be particularly beneficial for children who have not responded to previous treatment attempts.