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The efficacy of an enuresis alarm in monosymptomatic nocturnal enuresis
1Urology Department, Ankara Gazi Hospital, Gazi Mahallesi Silahtar Street, Yenimahalle 06330, Ankara, Turkey. bcemozgur@hotmail.com
Insights
The enuresis alarm is an effective treatment for children with monosymptomatic nocturnal enuresis (MNE), offering initial and long-term dryness. This method provides a successful alternative to medication for managing bedwetting.
Area of Science:
- Pediatrics
- Urology
- Sleep Medicine
Background:
- Monosymptomatic nocturnal enuresis (MNE) is a common childhood condition affecting children over five.
- Enuresis alarm devices are frequently recommended for treating nocturnal enuresis.
- This study evaluates the efficacy of enuretic alarm devices in MNE patients.
Purpose of the Study:
- To assess the success rates of enuretic alarm devices in children with MNE.
- To determine the long-term effectiveness and relapse rates associated with alarm therapy.
Main Methods:
- Forty pediatric patients with significant MNE (≥3 wet nights/week) were enrolled.
- Participants used an enuretic alarm for an initial 12-week period.
- Success was defined as 14 consecutive dry nights; relapse was >1 wet night/week. Device re-usage was permitted for relapses.
Main Results:
- 27 out of 40 patients achieved initial nighttime dryness within three months.
- A relapse rate of 66.7% was observed among initial responders during follow-up.
- Ultimately, 13 patients benefited from the enuretic alarm treatment, with some achieving success upon re-usage.
Conclusions:
- Enuretic alarm devices demonstrate acceptable initial and long-term efficacy for achieving complete dryness in primary nocturnal enuresis.
- Alarm therapy offers an effective, non-pharmacological treatment option for childhood nocturnal enuresis.
- This approach avoids the need for costly medications, presenting a cost-effective solution.
Introduction:
Monosymptomatic nocturnal enuresis (MNE) is a frequent problem in children older than five years of age. Of the various treatment options, the enuresis alarm has been widely advocated for treating nocturnal enuresis. This study was designed to evaluate the success rates of the enuretic alarm device in patients with MNE.
Methods:
40 patients who had significant MNE (three or more wet nights per week) were included. They used an enuretic alarm for 12 weeks initially. If a relapse was observed, reusage of the device was provided. A success criterion was defined as "14 consecutive dry nights" and a relapse criterion was "more than one wet night a week".
Results:
The patients' mean age was 8.1 (range 6-16) years and the mean follow-up time was 10.2 (range 6-19) months. 27 patients became dry at night at the end of three months. In the follow-up period, a relapse was observed in 66.7 percent of the initial responders. For recovery, 14 patients started to reuse the device, and seven of them responded positively. At the end of the treatment, a total of 13 of the patients had benefited from the enuretic alarm.
Conclusion:
During the follow-up, the enuretic alarm device provided acceptable initial and long-term complete dryness in patients with primary nocturnal enuresis. Without the need for expensive pharmacological intervention, the alarm treatment is an effective choice for children with nocturnal enuresis.
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