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[Children with nocturnal enuresis: why several treatments?]

G Bolla1, G Sartore

  • 1U.O. Urologia ASL 13 - Reg. Veneto O.C. Dolo (VE). giorgio.bolla@libero.it

La Pediatria Medica E Chirurgica : Medical and Surgical Pediatrics
|December 24, 2010
PubMed

Insights

Desmopressin effectively treated nocturnal enuresis in children, with behavioral and alarm therapies showing lower success rates. Differentiated treatments offer a high probability of enuresis resolution.

Area of Science:

  • Pediatric Urology
  • Clinical Therapeutics

Background:

  • Nocturnal enuresis affects a significant number of children.
  • Varied treatment approaches exist, but their comparative efficacy is crucial for clinical decision-making.

Purpose of the Study:

  • To evaluate the influence of differentiated therapeutic strategies on clinical outcomes for childhood nocturnal enuresis.
  • To compare the effectiveness of behavioral therapy, alarm treatment, and desmopressin in resolving nocturnal enuresis.

Main Methods:

  • A study involving 30 children diagnosed with nocturnal enuresis.
  • Participants were divided into three groups (n=10 each): behavioral approach, alarm treatment, and desmopressin.
  • Clinical outcomes were assessed post-intervention.

Main Results:

  • Complete resolution of nocturnal enuresis was observed in 100% of children treated with desmopressin.
  • The alarm treatment group achieved a 90% resolution rate.
  • The behavioral intervention group showed an 80% resolution rate, with 20% persisting symptoms.

Conclusions:

  • Desmopressin demonstrated superior efficacy in treating childhood nocturnal enuresis compared to behavioral and alarm therapies.
  • Therapeutic differentiation is essential, aligning treatments with individual child and family needs for probable enuresis disappearance.
  • Tailored treatment strategies enhance the likelihood of successful nocturnal enuresis management.
Abstract

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