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No effect of basic bladder advice in enuresis: A randomized controlled trial.

Maria Cederblad1, Anna Sarkadi1, Gunn Engvall2

  • 1Dept. of Women's and Children's Health, Uppsala University, Uppsala, Sweden.

Journal of Pediatric Urology
|May 16, 2015
PubMed
Summary
This summary is machine-generated.

Basic bladder training does not effectively treat nocturnal enuresis or improve outcomes with alarm therapy. Current recommendations for firstline bladder training in children with enuresis should be reconsidered in favor of immediate alarm or desmopressin treatment.

Keywords:
After treatmentChildrenNocturnal enuresisNursingPrimary care

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Area of Science:

  • Pediatric Urology
  • Sleep Medicine
  • Behavioral Therapy

Background:

  • Nocturnal enuresis is commonly treated with desmopressin or enuresis alarms.
  • Daytime bladder training (urotherapy) is often recommended prior to these treatments.
  • Evidence supporting bladder training for nocturnal enuresis is lacking.

Purpose of the Study:

  • To investigate the efficacy of basic bladder advice in managing nocturnal enuresis.
  • To determine if bladder advice impacts the effectiveness of subsequent enuresis alarm therapy.

Main Methods:

  • Prospective, randomized, controlled trial involving 40 children (aged 6+) with untreated enuresis.
  • Intervention group received bladder advice (regular voiding, posture, fluid intake) for one month before alarm therapy.
  • Control group received only alarm therapy.

Main Results:

  • Bladder advice alone did not significantly reduce enuresis frequency (p=0.089).
  • No significant difference in outcomes was observed between groups after alarm therapy (p=0.74).
  • Few children showed partial/full response to bladder training, with rapid relapse during alarm therapy.

Conclusions:

  • Daytime basic bladder training is not effective for treating nocturnal enuresis.
  • Bladder training does not enhance the success of subsequent enuresis alarm therapy.
  • Treatment for nocturnal enuresis should prioritize enuresis alarms or desmopressin without delay.