Evaluation of the effect of 3-month bladder basic advice in children with monosymptomatic nocturnal enuresis

Tkaczyk, Marcin; Maternik, Michał; Krakowska, Anna; Wosiak, Agnieszka; Miklaszewska, Monika; Zachwieja, Katarzyna; Runowski, Dariusz; Jander, Anna; Ratajczak, Dariusz; Korzeniecka-Kozyrska, Agata; Mader-Wołyńska, Izabella; Kiliś‐Pstrusińska, Katarzyna

doi:10.1016/j.jpurol.2017.03.039

Cited by 15 publications

(11 citation statements)

References 23 publications

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“…Recent studies showed that basic advice (e.g. proper daytime fluid intake, reduction of intake before bedtime and proper voiding position) has little or no influence on MNE resolution [6,30]. There are also discrepancies between the use of desmopressin treatment and the bedwetting alarmdrecommended as first-line treatmentdsuggesting that the pathological mechanism of MNE is not fully understood by the physicians who were surveyed.…”

Section: Discussionmentioning

confidence: 99%

“…Enuresis is multifactorial, caused by the interaction between three main mechanisms: nocturnal polyuria, decreased bladder capacity and/or detrusor overactivity and sleep arousal disturbances that may relate to global maturation delay and genetics [5]. Decreased nocturnal secretion of the antidiuretic hormone (ADH) vasopressindleading to nocturnal polyuriadcauses nighttime wetting in about one-third of children with enuresis [6], but other circadian rhythms of kidney function appear to play an important role. Further research is needed to confirm the full involvement of the renal circadian clock system [7,8].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Understanding of and misconceptions around monosymptomatic nocturnal enuresis: findings from patient and physician surveys

Maternik

2019

Journal of Pediatric Urology

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Understanding of and misconceptions around monosymptomatic nocturnal enuresis: findings from patient and physician surveys

Maternik

2019

Journal of Pediatric Urology

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“…Another prospective trial further revealed that the basic bladder training's effects mostly were pronounced after the third month of treatment for the MNE children who did not receive any previous treatment. Therefore, for children who are not strongly willing to accept behavioral interventions, early administration of alarm or desmopressin is necessary [17]. But it seems to have good efficacy in children with NMNE [18].…”

Section: Simple Behavioral Interventionsmentioning

confidence: 99%

Advances in Treatment of Nocturnal Enuresis in Children

Zhou¹,

Lü²,

Shi³

et al. 2020

Lower Urinary Tract Dysfunction - From Evidence to Clinical Practice

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Nocturnal enuresis is a condition with complex etiology affecting plenty of children and families. Even though multifarious clinical trials and studies have been designed and completed, some inconclusive results on nocturnal enuresis confuse clinicians. This article aims to provide useful information for clinicians by summarizing the existing evidence on nocturnal enuresis and discussing the effectiveness and safety of different treatments. Nocturnal enuresis mainly results from the disorders related to central nervous system, which may cause nocturnal polyuria, nighttime bladder capacity decline, arousal disorder, and various accompanying diseases. We discussed the efficacy and safety of different treatments for monosymptomatic nocturnal enuresis, including standard therapies, simple behavioral interventions, complex behavioral interventions, alarm therapy, desmopressin and other drugs, biofeedback therapy, electrical stimulation, acupuncture, Chinese herbal medicine, massage, and so on. Alarm is still the most effective single therapy with lower relapse rate. Desmopressin has efficacy mainly in children with nocturnal polyuria. Children with detrusor overactivity or decreasing functional bladder capacity can choose anticholinergics. Additionally, tricyclic drugs, biofeedback therapy, electrical stimulation, acupuncture, massage, and so on are therapeutic options for children with nocturnal enuresis.

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“…In practice, this reflects a drinking volume of 30 to 40 mL/kg body weight and is considered average (normal). Basic bladder advice, combined with keeping a chart depicting wet and dry nights has not been shown to be successful in the early treatment for NE and this, therefore, is not encouraged as a form of treatment …”

Section: Managementmentioning

confidence: 99%

“…Basic bladder advice, combined with keeping a chart depicting wet and dry nights has not been shown to be successful in the early treatment for NE and this, therefore, is not encouraged as a form of treatment. 32,33 4.2 | Conservative wait and see approach A "wait and see" approach can be chosen, when the child and the family are unable to comply with treatment, if the treatment options are not possible for F I G U R E 1 Elementary causes in the pathophysiology of nocturnal enuresis, in a child with a nocturnal enuresis problem the family situation, and if there is no social pressure. However, the child should wear diapers at night to ensure a normal quality of sleep.…”

Section: Supportive Treatment Measuresmentioning

confidence: 99%

Practical recommendations of the EAU‐ESPU guidelines committee for monosymptomatic enuresis—Bedwetting

Bogaert

Stein

Undre

et al. 2019

Neurourology and Urodynamics

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Background and Aims: The objective of this update of the EAU-ESPU guidelines recommendations for nocturnal enuresis was to review the recent published literature of studies, reviews, guidelines regarding the etiology, diagnosis and treatment options of nocturnal enuresis and transform the information into a practical recommendation strategy for the general practitioner, pediatrician, pediatric urologist and urologist. Material and Methods: Since 2012 a monthly literature search using Scopus® was performed and the relevant literature was reviewed and prospectively registered on the European Urology bedwetting enuresis resource center (http:// bedwetting.europeanurology.com/). In addition, guideline papers and statements of the European Society for Paediatric Urology (ESPU), the European Association of Urology (EAU), the National Institute for Health and Care Excellence (NICE) and the International Children Continence Society (ICCS) were used to update the knowledge and evidence resulting in this practical recommendation strategy.Recommendations have been discussed and agreed within the working group of the EAU-ESPU guidelines committee members. Results:The recommendations focus to place the child and his family in a control position. Pragmatic analysis is made of the bedwetting problem by collecting voiding and drinking habits during the day, measuring nighttime urine production and identification of possible risk factors such as high-volume evening drinking, nighttime overactive bladder, behavioral or psychological problems or sleep disordered breathing. A questionnaire will help to identify those risk factors. Conclusion: Motivation of the child is important for success. Continuous involvement of the child and the family in the treatment will improve treatment compliance, success and patient satisfaction.bedwetting, guidelines, monosymptomatic enuresis, practical recommendations Abbreviations: EAU, the European Association of Urology; ESPU, European Society for Paediatric Urology; UTI, urinary tract infections.

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Evaluation of the effect of 3-month bladder basic advice in children with monosymptomatic nocturnal enuresis

Cited by 15 publications

References 23 publications

Understanding of and misconceptions around monosymptomatic nocturnal enuresis: findings from patient and physician surveys

Understanding of and misconceptions around monosymptomatic nocturnal enuresis: findings from patient and physician surveys

Advances in Treatment of Nocturnal Enuresis in Children

Practical recommendations of the EAU‐ESPU guidelines committee for monosymptomatic enuresis—Bedwetting

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