Behavioral alarm treatment for nocturnal enuresis

Abstract

Purposes:To investigate the efficacy of alarm treatment in a sample of Brazilian children and adolescents with nocturnal enuresis and relate treatment success to age and type of clinical support. Materials and Methods: During 32 weeks, 84 children and adolescents received alarm treatment together with weekly psychological support sessions for individual families or groups of 5 to 10 families. Results: 71% of the participants achieved success, defined as 14 consecutive dry nights. The result was similar for children and adolescents and for individual or group support. The time until success was shorter for participants missing fewer support sessions. Conclusions: Alarm treatment was effective for the present sample, regardless of age or type of support. Missing a higher number of support sessions, which may reflect low motivation for treatment, increased the risk of failure.

Assessment of Nocturnal Enuresis Management in Children in the Advanced Diagnostic Center in Khartoum State

“…In this study, none of the patients have used an alarming device for treating nocturnal enuresis. This in contrast with the previous study of [22] found that treatment of nocturnal enuresis with an alarm technique was satisfactory in the Brazilian sample.…”

“…In this study, none of the patients have used an nocturnal enuresis. This in contrast with the previous study of [22] found that treatment of nocturnal enuresis with an alarm technique was satisfactory in the The result for the distribution of the treatment in this study, were 97% fluid restriction, 53% psychotherapy, 91% dry bed training, 45% decompression. In addition to 2% oxybutynin, 33% imipramine hydrochloride, 6% behavioral intervention, and 31% others as Fig.…”

A Comparison of Alarm Treatment Results for Brazilian Children with Enuresis Plus ADHD x no ADHD

“…In other words, this data confirms the mean index of efficacy of alarm intervention in international studies as well as in the only Brazilian study with alarm found [11].…”

“…It's known that treatments for enuresis include urine alarms, decompression and tricyclic antidepressants that are used either as monotherapy or in combination, and the alarm therapy is one of the first line treatments for enuresis [10]. So far in Brazil, only Pereira, Braga & Silvares [11] research was done on the efficacy of alarm treatment used together with weekly psychological support sessions for individual families or groups. Their sample of 84 Brazilian children and adolescents with nocturnal enuresis reached 71% of initial success (14 "dry nights") and 29% of failures (with dropouts), confirming international data, which varies between 67-80% (e.g., Özgür et al, 2009 [1], in Turkey; Gim, Lillystone & Caldwell, 2009 [12], in Australia, with rate of failures respectively 32% and 27%).…”

The adverse influence of spina bifida occulta on the medical treatment outcome of primary monosymptomatic nocturnal enuresis

“…The spontaneous recovery rate in enuretic patients has been estimated to be 15%/year (1). Although many factors have been suggested to play a role in the etiology of enuresis including nocturnal polyuria, sleep disturbances, reduced bladder capacity, detrusor instability and urinary tract infections, the exact cause is still unclear (2,3). In the absence of any additional lower urinary tract symptoms of, including urgency or daytime incontinence enuresis is defined as mono-symptomatic nocturnal enuresis (MNE) (4).…”