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Enuresis alarm treatment.

Richard J Butler¹, Sarah L Gasson

¹Clinical Psychology Department, Child and Adolescent Mental Health Services, East Leeds Primary Care Trust, Leeds, UK. richard.butler@leedsmh.nhs.uk

Scandinavian Journal of Urology and Nephrology

|November 1, 2005

Summary

The enuresis alarm is an effective treatment for childhood nocturnal enuresis, with success rates ranging from 30% to 87%. Factors like enuresis type and treatment duration influence outcomes, and relapse rates are around 42%.

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Area of Science:

Pediatric Urology
Behavioral Pediatrics

Background:

Childhood nocturnal enuresis is commonly treated with psychological or pharmacological methods.
The enuresis alarm is recognized as the most effective psychological intervention.

Purpose of the Study:

To review outcome rates and influential factors of enuresis alarm treatment from recent studies.
To investigate predictors of success and relapse in children with nocturnal enuresis.

Main Methods:

A systematic search identified 38 English-language studies (1980-2002) using the enuresis alarm as a standalone intervention with at least 10 children.
Analysis focused on outcome parameters, inclusion criteria, and relapse rates.

Main Results:

Success rates varied widely (30%-87%), influenced by enuresis type, treatment duration, and success criteria.
A subset of 20 homogenous studies showed a 65% success rate.
Relapse rates ranged from 4% to 55%, with 42% in a homogenous subset.

Conclusions:

The enuresis alarm is a proven effective treatment for nocturnal enuresis in children.
Pre- and within-treatment factors significantly impact alarm effectiveness and can guide clinical decisions.

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