Long-term follow-up of enuretic alarm treatment in enuresis nocturna

Tuncel, Altuğ; Mavituna, Ilkay; Nalçacıoğlu, Varol; Tekdoğan, Ümit Yener; Uzun, Burcin; Atan, Ali

doi:10.1080/00365590802095678

Cited by 10 publications

(9 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…So the prevalence of the disease is 15% in 5 years and 1% in 14 years. Nevertheless, 7% of 7-year-old children wetting the bed grew-up with the condition into adulthood [1,2,3]. …”

Section: Discussionmentioning

confidence: 99%

The Time of Spontaneous Resolution of Monosymptomatic Nocturnal Enuresis (MNE) Is Familial

Oğuz¹,

Aykaç²,

Demirelli³

et al. 2015

Urol Int

View full text Add to dashboard Cite

Purpose: To investigate whether or not the age of spontaneous resolution of monosymptomatic nocturnal enuresis (MNE) was familial. Patients and Methods: A questionnaire was administered to more than 1,500 people, and 100 appropriate participants were identified from four referral hospitals. We included the participants who had MNE and whose parents also had MNE with spontaneous resolution. Then the association between the spontaneous resolution time of MNE in parents and that in their children was investigated. Results: The mean ages of spontaneous resolution were 10.7 (10-30 years), 9.4 (6-17 years) and 10.9 (6-18 years) in participants, their mothers and their fathers, respectively. According to the statistical analysis, there was a positive correlation between participants and both their mothers and fathers (p < 0.05). In addition, it was revealed that familial MNE history based on first- and second-degree relatives, in addition to their parents, was also associated with the increased spontaneous resolution age of MNE (p < 0.05). According to our results, gender and parents' education status were not statistically associated with the spontaneous resolution (p > 0.05). Conclusion: As a conclusion, the age of spontaneous resolution of MNE is familial. Although the exact reasons of spontaneous resolution still remain a mystery; further genetic investigations may be able to resolve this mystery.

show abstract

“…So the prevalence of the disease is 15% in 5 years and 1% in 14 years. Nevertheless, 7% of 7-year-old children wetting the bed grew-up with the condition into adulthood [1,2,3]. …”

Section: Discussionmentioning

confidence: 99%

The Time of Spontaneous Resolution of Monosymptomatic Nocturnal Enuresis (MNE) Is Familial

Oğuz¹,

Aykaç²,

Demirelli³

et al. 2015

Urol Int

View full text Add to dashboard Cite

show abstract

“…[1] In the alarm therapy, success rates climb to 76%, recurrence rates are relatively lower in comparison to the drug therapy (34.1%). [2] Besides, its use, and compliance of the family to the treatment are relatively challenging. Indeed, with every moment of bedwetting, parents also awaken, change soaked underwears of their children, and replace the device properly.…”

Section: Discussionmentioning

confidence: 99%

“…Although cure rates climb to 86% in different publications, cessation of the therapy results in extremely higher recurrence rates (90%). [2] Alarm therapy is another treatment alternative, it is the first-line therapy especially in children experiencing difficulties in arousal from a deep sleep. [1] In the alarm therapy, success rates climb to 76%, recurrence rates are relatively lower in comparison to the drug therapy (34.1%).…”

Section: Discussionmentioning

confidence: 99%

“…However, in nearly 7% of 7-year-old children complaining of bedwetting at night, enuresis persists during adulthood. [1][2][3][4][5][6] In chronic MNE cases, family compliance decreases with time which interferes with adherence to the treatment protocol. In this study, we aimed to evaluate compliance of the families to therapy in patients who started to use enuretic alarm device (EAD) with the indication of MNE.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Family compliance with the use of alarm devices in the treatment of monosymptomatic nocturnal enuresis

Oğuz¹,

Sarıkaya²,

Özyuvalı³

et al. 2014

Turkish Journal of Urology

View full text Add to dashboard Cite

Objective: In the treatment of monosymptomatic nocturnal enuresis (MNE), enuretic alarm devices (EADs) are the first recommended treatment option. This study aimed to evaluate parental and child compliance with EAD treatment. Material and methods:Fifty patients for whom EAD therapy was recommended were included in this study. The mean age of the patients was 10.4 years (5-16). All the patients were nursery or school children. Patients who did not return for their follow-up visits were called by phone, and verbal information were gathered about the use and performance success of the device. We documented the patients who used, and did not use the EAD with their reasons.Results: Nineteen (36%) patients were able to use the EAD without any problems. Eight of the remaining 31 patients didn't return for control, and they could not be get in touch with, either. Of the 23 (46%) families whom we could get a contact, 4 families did not purchase EAD due to a decrease in the number of wet nights, 4 families due to compensatory payment,and 3 families due to reluctance of one of the parents. One family reported that they gave up the EAD treatment because of the disturbing loud volume of the device. Four families reported that their children refused to use the EAD. Four families said that they could not use the EAD regularly because the device frequently did not work properly. In this study, we could not keep in touch with 16% of the patients, and 46% of the patients stopped using or did not receive this therapy. Conclusion:Although EAD has been the priorly recommended alternative with its relatively higher success, and lower recurrence rates, our study demonstrated that the compliance of families with this treatment is below the expected level.

show abstract

“…Different treatment methods such as medical treatments (imipramine, desmopressin, anticholinergics), behavioral interventions, and enuresis alarm therapy are used in cases of NE (10). Desmopressin is a synthetic analog of arginine vasopressin that has an antidiuretic effect and reduces the production of urine and increases the urine concentration.…”

Section: Introductionmentioning

confidence: 99%

The effect of antidiuretic hormone on urine and serum electrolyte levelsin children with primary monosymptomatic nocturnal enuresis

Taş¹,

Kandur²,

Fidan³

et al. 2017

Turk J Med Sci

View full text Add to dashboard Cite

Background/aim: The data concerning the effects of desmopressin on water/electrolyte disturbances of children with primary monosymptomatic nocturnal enuresis (PMNE) are limited. In the present study we aimed to evaluate the effect and tolerability of desmopressin on blood and urine electrolytes and osmolality in PMNE.Materials and methods: Thirty-five children with PMNE between the ages of 5 and 15 participated in the study. Patients collected urine during the daytime and acknowledged the night time fluid restriction before starting to use the desmopressin tablets. The medication was taken orally at least 1 h before bedtime. Blood and urine samples were collected before the introduction of the treatment (day 0) and on the third and seventh days of the administration of desmopressin to determine osmolality and electrolyte levels.Results: Thirty-five patients participated in the study. Twenty-one patients (60%) were male and 14 (40%) were female. The mean age was 9.6 ± 2.7 years. There were no significant changes in serum osmolality, urine osmolality, and serum sodium concentration. Mean urine calcium/creatinine ratio was 0.03 ± 0.01 mg/mg at the beginning, 0.06 ± 0.02 mg/mg on the third day, and 0.04 ± 0.01 mg/mg on the seventh day of the study. No significant changes were seen in urine calcium/creatinine ratio before and after treatment. Conclusion:Desmopressin appeared to be a well-tolerated drug and provided a safe and effective treatment for children who were following fluid intake restriction for PMNE.

show abstract

Long-term follow-up of enuretic alarm treatment in enuresis nocturna

Abstract: In the long-term follow-up, the enuretic alarm device provided an acceptable full response rate in patients with primary nocturnal enuresis.

Cited by 10 publications

References 29 publications

The Time of Spontaneous Resolution of Monosymptomatic Nocturnal Enuresis (MNE) Is Familial

The Time of Spontaneous Resolution of Monosymptomatic Nocturnal Enuresis (MNE) Is Familial

Family compliance with the use of alarm devices in the treatment of monosymptomatic nocturnal enuresis

The effect of antidiuretic hormone on urine and serum electrolyte levelsin children with primary monosymptomatic nocturnal enuresis

Contact Info

Product

Resources

About