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Nocturnal enuresis: non-pharmacological treatments

Darcie Kiddoo1

  • 1University of Alberta, Alberta, Canada.

BMJ Clinical Evidence
|January 14, 2015
PubMed

Insights

Non-pharmacological interventions like enuresis alarms and dry bed training show promise for treating nocturnal enuresis (bedwetting). This systematic review evaluates their effectiveness and safety in children.

Area of Science:

  • Pediatrics
  • Urology
  • Evidence-Based Medicine

Background:

  • Nocturnal enuresis (bedwetting) is common, affecting up to 20% of 5-year-olds.
  • Spontaneous resolution occurs in 15% of affected children annually.
  • Treatment is generally not recommended for children under 7 years old.

Purpose of the Study:

  • To systematically review the effectiveness and safety of non-pharmacological interventions for nocturnal enuresis.

Main Methods:

  • A systematic review was conducted, searching major databases up to October 2013.
  • Included studies evaluated interventions such as acupuncture, dry bed training, enuresis alarms, and hypnotherapy.
  • GRADE evaluation assessed the quality of evidence for each intervention.

Main Results:

  • Five studies met the inclusion criteria for the review.
  • The review analyzed the effectiveness and safety of various non-pharmacological treatments.

Conclusions:

  • Acupuncture, dry bed training, enuresis alarms, and hypnotherapy were identified as interventions for nocturnal enuresis.
  • Information on the effectiveness and safety of these methods is presented.
Abstract

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