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Retention control training in the treatment of younger versus older enuretic children
Insights
Retention control training (RCT) effectively treats nocturnal enuresis in younger children (4-5 years). However, it is less effective for older children (7-8 years) and may require supplementary treatments.
Area of Science:
- Pediatrics
- Urology
- Child Psychology
Background:
- Nocturnal enuresis, or bedwetting, affects many children.
- Primary nocturnal enuresis has a significant genetic component.
- Previous treatments for enuresis have varying success rates.
Purpose of the Study:
- To compare the efficacy of retention control training (RCT) in two pediatric age groups with primary nocturnal enuresis.
- To determine if age influences the effectiveness of RCT for treating bedwetting.
Main Methods:
- A comparative study involving 30 children with primary nocturnal enuresis.
- Participants were divided into two groups: younger (4-5 years) and older (7-8 years).
- Inclusion criteria controlled for family history, enuresis frequency (4-7 nights/week), and type (primary).
Main Results:
- Retention control training (RCT) demonstrated significant efficacy in the younger age group (4-5 years).
- RCT was found to be less effective in the older age group (7-8 years).
- Younger children were closer to mature bladder development, correlating with treatment success.
Conclusions:
- RCT is an effective intervention for younger children with primary nocturnal enuresis.
- For older children, RCT may serve as a preparatory step to enhance bladder capacity.
- Combined therapeutic approaches, including bell-and-pad systems, may be necessary for older children post-RCT.
Abstract:
This study compared the efficacy of retention control training (RCT) in two groups of children suffering from nocturnal enuresis: a younger group of 15 children aged 4 to 5 years and an older group of 15 children aged 7 to 8 years. To control for family history, frequency, and type of enuresis, only children with primary nocturnal enuresis who had a family history of enuresis and who wet the bed 4 to 7 nights per week were included. RCT was found to be an effective treatment for young children who were closer to the final stage of bladder development, but not for older children. RCT may be used for older children as a preliminary treatment to increase functional bladder capacity, after which treatment of enuresis should be continued by other methods, such as bell-and-pad reinforcement programs.