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Complementary and miscellaneous interventions for nocturnal enuresis in children
C M A Glazener1, J H C Evans, D K L Cheuk
1Health Services Research Unit, University of Aberdeen, Polwarth Building, Foresterhill, Aberdeen, Scotland, UK, AB25 2ZD. c.glazener@abdn.ac.uk
The Cochrane Database of Systematic Reviews
|April 23, 2005
Summary
Complementary therapies like hypnosis, psychotherapy, acupuncture, and chiropractic show potential for treating childhood nocturnal enuresis (bedwetting). However, evidence is limited, necessitating further rigorous research to confirm efficacy and safety.
Area of Science:
- Pediatrics
- Complementary and Alternative Medicine
- Urology
Background:
- Nocturnal enuresis (bedwetting) affects 15-20% of 5-year-olds and up to 2% of young adults.
- This condition causes significant social disruption and stress for affected children and families.
Purpose of the Study:
- To evaluate the effectiveness of complementary interventions for childhood nocturnal enuresis.
- To compare these interventions against other treatments like surgery, diet, and standard therapies.
Main Methods:
- Searched specialized databases including the Cochrane Incontinence Group Register and TCMLARS.
- Included randomized or quasi-randomized trials of complementary and miscellaneous interventions for nocturnal enuresis in children.
- Excluded trials focusing solely on daytime wetting; compared interventions included placebo, alarms, behavioral treatment, and medications.
Main Results:
- Fifteen trials involving 1389 children were analyzed; trial quality was generally poor.
- Limited evidence suggests potential benefits for hypnosis, psychotherapy, acupuncture, and chiropractic adjustments compared to controls or other treatments.
- Findings from single, small trials require verification; diet and faradization results were unreliable, with no trials on homeopathy or surgery.
Conclusions:
- Weak evidence supports hypnosis, psychotherapy, acupuncture, and chiropractic for nocturnal enuresis, primarily from small, methodologically limited trials.
- Robust randomized trials are essential to confirm efficacy, cost-effectiveness, and monitor adverse effects.
- Further research is needed to establish reliable treatment options for childhood bedwetting.