Bladder training and enuresis: A controlled trial

Annotation: Night Wetting in Children: Psychological Aspects

“…There is evidence that retention control training increases functional bladder capacity and it may be effective for the younger child who is close to achieving bladder control (Ronen & Abraham, 1996). However, it generally fails to produce a desired reduction in bedwetting (Doleys, Ciminero, Tollinson, Williams, & Wells, 1977 ;Harris & Purohit, 1977), fails to generate an improvement in day or night wetting for children with mixed enuresis (Fielding, 1980), and, when employed as an adjunct to the enuresis alarm, it does not prevent future relapse (Houts et al, 1986). (4) Dry bed training is a package of behavioural procedures used in conjunction with the enuresis alarm (Azrin et al, 1974).…”

Pad-and-Buzzer Training, Dry-Bed Training, and Stop-Start Training in the Treatment of Primary Nocturnal Enuresis

“…Initial studies found some value in this technique (Kimmel and Kimmel, 1970;Paschalis et al, 1972;Miller, 1973). Although subsequent studies have found RCT to increase functional bladder capacity (Rocklin and Tilker, 1973;Doleys, 1977;Harris and Purohit, 1977;Fielding, 1980), they did not find it to be a consistently effective treatment technique. An infrequently used alternative approach stems from anecdotal accounts that practising interrupting the flow of urine during urination has beneficial results (Chapman, 1965).…”

Epidemiology of Nocturnal Enuresis in a Part of Khartoum, Sudan

“…(1)-there is yet no consensus of opinion as to its aetiology, clinical significance or mode of treatment. Many authors attribute it to a developmental delay; whether conceived in the form of constitutional instability with or without hereditary elements ( 2 4 ) , or retarded neuro-physiological maturation ( 5 4 , or insufficient arousal (%ll), or underdeveloped functional bladder capacity (7,(12)(13)(14)(15). Others see it as a learning difficulty involving inadequate training (16), or premature training before the age of two years (17), or undertraining (18) or else as related to a reduced capacity for learning and conditionability due to inherent or environmental factors (19)(20)(21)(22)(23).…”