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Nocturnal enuresis: change of nocturnal voiding pattern during alarm treatment
H V Bonde1, J P Andersen, P Rosenkilde
1Surgical Department D, Glostrup Hospital, University of Copenhagen, Denmark.
Insights
Alarm treatment for nocturnal enuresis (bedwetting) is effective in most children. Successful outcomes include staying dry during sleep or waking to void, with no predictable factors for success.
Area of Science:
- Pediatrics
- Urology
- Sleep Medicine
Background:
- Nocturnal enuresis affects a significant number of children.
- Alarm treatment is a common intervention for persistent bedwetting.
Purpose of the Study:
- To evaluate the outcomes of enuresis alarm treatment in children.
- To identify distinct patterns of successful treatment response.
Main Methods:
- Prospective clinical study involving 60 children (40 boys, 20 girls) aged 5.1-14.4 years.
- All participants received enuresis alarm treatment.
- Enuretic and voiding frequencies were compared before and after treatment.
Main Results:
- 43 out of 60 children (71.7%) achieved a ≥75% reduction in enuretic events.
- Successful outcomes manifested as either remaining dry during sleep (28 children) or waking to void (15 children).
- 17 children showed no improvement; no predictive factors for outcome were identified.
Conclusions:
- Enuresis alarm treatment is effective for a majority of children with nocturnal enuresis.
- Successful treatment has two primary forms: remaining asleep and dry, or waking to void.
- Further research is needed to identify predictors of treatment success.
Abstract:
In a prospective clinical study of the outcome of alarm treatment in nocturnal enuretics, 60 children were included: 40 boys and 20 girls, mean age 8.2 years (range 5.1-14.4). All were treated with enuresis alarms and had 2 or more enuretic events during the initial 14 days of treatment. None had diurnal enuresis. In each child, the enuretic and voluntary voiding frequencies during the initial 14 and last 14 days of treatment were compared. We found that 43 children had a 75% reduction or more of the enuretic events. 28 children substituted the former enuretic events by sleep, 15 changed the enuresis by voluntary voidings. Only 17 children had no effect of the alarm treatment. No parameters were found to predict the outcome. In conclusion, the outcome of successful alarm treatment occurs in two distinct forms. Either the child is left asleep without wetting his bed; or the child wakes up spontaneously from sleep and goes to the bathroom.