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Timer watch assisted urotherapy in children: a randomized controlled trial
Søren Hagstroem1, Søren Rittig, Konstantinos Kamperis
1Institute of Clinical Medicine, Aarhus University Hospital, Skejby, Aarhus, Denmark. hagstroem@ki.au.dk
Insights
A timer watch significantly enhances urotherapy for children with overactive bladder and daytime incontinence. This approach leads to sustainable continence in 60% of cases, improving treatment outcomes.
Area of Science:
- Pediatric Urology
- Behavioral Therapy
Background:
- Overactive bladder and daytime urinary incontinence are common in children.
- Standard urotherapy is a common treatment, but its effectiveness can be limited.
Purpose of the Study:
- To evaluate the efficacy of a timer watch as an adjunct to standard urotherapy for children with overactive bladder and daytime urinary incontinence.
Main Methods:
- 60 children with daytime urge incontinence were randomized to 12 weeks of standard urotherapy with or without a timer watch.
- Bladder diaries and incontinence episodes were monitored before, during, and after the intervention.
- Long-term follow-up was conducted at 7 months.
Main Results:
- Children using the timer watch showed a significant reduction in wet days per week compared to standard urotherapy alone.
- 60% of children in the timer group achieved a >50% decrease in incontinence episodes, versus 18% without the timer.
- 30% of children using the timer watch achieved complete daytime continence, with 60% maintaining continence at 7 months.
Conclusions:
- A programmable timer watch significantly improves the effectiveness of standard urotherapy for pediatric overactive bladder.
- Timer-assisted urotherapy offers a sustainable solution for daytime continence in children.
Purpose:
We evaluated the effect of timer watch treatment in addition to standard urotherapy in children with overactive bladder and daytime urinary incontinence.
Materials And Methods:
A total of 60 children with daytime urge incontinence were included in the study. Following a 4-week run-in period of standard urotherapy children were randomized to 12 weeks of standard urotherapy with or without a timer watch. Incontinence episodes were registered and 48-hour bladder diaries were obtained before randomization, and at weeks 1, 11 and 12. Long-term response was evaluated at 7 months.
Results:
Two children became continent during the run-in period. Before intervention children in the timer group were slightly more wet than children in the standard urotherapy group (median 7 [IQR 25% to 75% 6 to 7] vs 6 [3 to 7] wet days per week, p <0.05). Following 12 weeks of standard urotherapy children randomized to timer assisted urotherapy had significantly fewer wet days per week (median 2, IQR 25% to 75% 0 to 5) vs those undergoing standard urotherapy alone (5, 2.75 to 6.75, p <0.01). In the timer group 18 children (60%) achieved a greater than 50% decrease in incontinence episodes, compared to only 5 (18%) treated without timer assistance. Nine patients (30%) in the timer group and no child in the standard urotherapy group achieved complete daytime continence. The timer increased compliance with the timed voiding regimen. At 7 months of followup 60% of children in the timer group were still continent in the daytime.
Conclusions:
A programmable timer watch significantly improves the effect of standard urotherapy. When using the timer watch as a supplement to standard urotherapy 60% of the children obtained complete and sustainable daytime continence.
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