A system for the treatment of nocturnal enuresis in children
Paweł Kroll1,2,3, Jacek Zachwieja4
1Department of Pediatric Urology, Świętego Wojciecha Hospital, Poznań, Poland - pawelkroll.poczta@gmail.com.
Insights
This study shows a rehabilitation system effectively treats childhood nocturnal enuresis (NE). The alarm device (AD) therapy achieved a 63.1% cure rate, proving effective for both monosymptomatic and polisymptomatic NE.
Area of Science:
- Pediatric Urology
- Childhood Behavioral Health
Background:
- Nocturnal enuresis (NE) in children requires effective treatment strategies.
- A three-stage rehabilitation system is proposed, including urination assessment, bladder dysfunction management, and waking training.
- The system aims to address the complexities of NE in pediatric patients.
Purpose of the Study:
- To evaluate the effectiveness of a novel rehabilitation system for treating childhood nocturnal enuresis.
- To compare treatment outcomes between children with monosymptomatic and polisymptomatic NE.
- To assess the efficacy of alarm device (AD) therapy within the rehabilitation framework.
Main Methods:
- Retrospective analysis of 198 children's medical records.
- Group 1: Monosymptomatic NE treated with alarm device (AD).
- Group 2: Polisymptomatic NE treated initially with urotherapy/pharmacotherapy, followed by AD if necessary.
Main Results:
- Alarm device (AD) therapy was applied to 122 children.
- A total of 77 children (63.1%) achieved cure through AD therapy.
- Treatment success was observed within 1-3 months of AD application.
Conclusions:
- The functional division-based rehabilitation system is effective for children with normal bladder function and those with urinary tract dysfunction.
- Alarm device (AD) therapy demonstrates higher efficacy in treating monosymptomatic NE compared to polisymptomatic NE.
Background:
This paper presents our findings related to the treatment of children with nocturnal enuresis using our own rehabilitation system. The basic three elements of the therapeutic process include: 1st stage: assessment of the way in which a child urinates; 2nd stage: treatment of bladder dysfunctions; 3rd stage: learning to wake up in order to urinate.
Methods:
Medical records of 198 children were used in the study. Group 1: children with monosymptomatic nocturnal enuresis. Group 2: children with polisymptomatic nocturnal enuresis. Group 1 was treated with the use of alarm device (AD). The treatment in group 2 started with the urotherapy and pharamacotherapy of bladder dysfunctions, if the treatment was effective a therapy with the use of alarm device was recommended.
Results:
A therapy with an AD was carried out in 122 children, 6 started to wake up without episodes of NE that would trigger the alarm, in 31 the ability to wake up in order to urinate developed in the first month of the therapy, 35 were cured after 2 months, in another 5 children the therapy was continued and was successfully completed in the 3rd month of using the AD. In total, 77 children (63.1%) treated using AD were considered as cured.
Conclusions:
The system for the treatment based on the functional division is effective both in children with normal bladder function and in patients with symptoms of urinary tract dysfunction. The treatment with AD is more effective in children with monosymptomatic than with polisymptomatic nocturnal enuresis.
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