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Functional enuresis: pharmacological versus behavioral treatment
A Iester1, A Marchesi, A Cohen
1Pediatric Clinics, Genoa University, G. Gaslini Institute, Genova, Italy.
Summary
Behavioral therapy, including bladder training, is more effective for childhood functional enuresis (FE) than medication. This approach also positively impacts a child's behavior and personality development.
Area of Science:
- Pediatrics
- Urology
- Behavioral Science
Background:
- Childhood enuresis diagnosis requires thorough assessment to differentiate functional enuresis (FE) from organic causes.
- FE is the predominant form of enuresis in children, necessitating effective treatment strategies.
Purpose of the Study:
- To compare the efficacy of pharmacological therapy versus behavioral therapy for childhood functional enuresis.
- To evaluate the impact of behavioral therapy, with or without computer aid, on FE treatment outcomes.
Main Methods:
- A cohort of 204 children with enuresis was assessed, with 168 diagnosed with FE.
- FE patients aged 6-11 years were randomized into three groups: pharmacological therapy, behavioral therapy, and computer-aided behavioral therapy.
- Treatment outcomes were compared across the groups.
Main Results:
- Behavioral therapy demonstrated superior results in treating functional enuresis compared to pharmacological therapy.
- Combining bladder retention training with behavioral therapy showed significant benefits.
Conclusions:
- Behavioral therapy is a highly effective treatment for childhood functional enuresis.
- Integrated behavioral approaches, including bladder training, enhance child maturity and autonomous behavior, positively influencing personality.