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Intensive behavioral therapy for primary enuresis

Saleh M Al-Harbi1, Robert D Needlman, Abdul S Khan

  • 1Department of Pediatrics, King Fahad Medical City Pediatric Hospital, PO Box 103249, Riyadh 11695, Kingdom of Saudi Arabia. sssnm3@hotmail.com

Saudi Medical Journal
|July 6, 2004
PubMed

Insights

Intensive behavioral therapy effectively treats primary enuresis in Saudi children. Regular follow-up significantly improves treatment success rates and patient satisfaction.

Area of Science:

  • Pediatrics
  • Behavioral Therapy
  • Urology

Background:

  • Primary enuresis affects children, impacting self-esteem and family life.
  • Behavioral interventions are a key treatment modality for nocturnal enuresis.

Purpose of the Study:

  • To evaluate the efficacy of intensive behavioral therapy for primary nocturnal enuresis in Saudi children.
  • To assess the impact of regular follow-up on treatment outcomes.

Main Methods:

  • An interventional study involving 26 children (aged 6-14) with primary enuresis.
  • Children received intensive behavioral therapy after comprehensive assessment.
  • Outcomes measured included response, regularity, self-esteem, and recurrence of enuresis.

Main Results:

  • Boys were more affected than girls (2:1 ratio).
  • Regular follow-up was associated with a high success rate (91.7% dry).
  • Treatment success was higher with 4-8 visits (75%) compared to 1-3 visits (25%).
  • High satisfaction reported by parents (96%) and children (80.7%).
  • Socio-economic status influenced follow-up regularity and treatment response.

Conclusions:

  • Intensive behavioral therapy demonstrates excellent efficacy for primary enuresis.
  • Consistent patient follow-up is crucial for maximizing treatment success.
  • Behavioral therapy offers a satisfactory and effective management option for childhood enuresis.
Abstract

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