A Systematic Review and a Meta-Analysis of Using Acupuncture for the Treatment of Nocturnal Enuresis

Azarfar, Anoush; Ravanshad, Yalda; Aval, Shahpour Badiei; Khamnian, Zhila; Mehrad‐Majd, Hassan

doi:10.4172/2161-0959.1000292

Cited by 5 publications

(3 citation statements)

References 16 publications

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“…Another systematic review was done in 2017 and seven studies were eligible for data extraction. This study suggested that acupuncture seems to be an effective treatment for NE, but further rigorous research is needed (43).…”

Section: Acupuncturementioning

confidence: 82%

Traditional, Complementary, and Alternative Medicine in Nocturnal Enuresis in Children

Motaharifard

Mohkam

2022

JPR

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Context: The use of complementary and alternative medicine (CAM) treatments in children is increasing. Due to the ineffectiveness of some pharmacological interventions or intolerance to their side effects, different types of CAM are used in various problems such as enuresis in children. This study aimed to introduce the most common complementary and alternative medicine methods used for enuresis in the pediatric population. Evidence Acquisition: Medical literature search was performed in several databases for a variety of Traditional, Complementary and Alternative Medicine in nocturnal enuresis in Children. Databases included Google scholar, Web of Science, Scopus, Cochrane Library, PubMed and a number of Persian databases including Magiran and SID. Clinical trials, case series or case reports that had evaluated the effectiveness of these therapies in nocturnal enuresis in children were included. Data were collected in English or Persian from inception to early 2021. Results: As far as we searched, more studies have been performed on some CAM methods, such as acupuncture. In some methods, such as reflexology, the studies are limited to case reports and in others, such as aromatherapy, there was no study related to children's enuresis. Based on the results, most of CAM methods have positive effects in the treatment of nocturnal enuresis and have their unique theories about the concepts of etiology, diagnosis and treatment of disease. Conclusions: Despite the relatively high use of CAM treatments in nocturnal enuresis among children, evidence of their effectiveness is not enough. More clinical trials are required to evaluate safety and efficacy of these methods.

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Section: Acupuncturementioning

confidence: 82%

Traditional, Complementary, and Alternative Medicine in Nocturnal Enuresis in Children

Motaharifard

Mohkam

2022

JPR

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“…While the evidence for this treatment is weak, meta-analysis results show that acupuncture is an effective treatment for enuresis. However, other large clinical trials are needed to prove its effectiveness (64).…”

Section: ) Is There Any History Of Defects In Movement Learning or De...mentioning

confidence: 99%

Comprehensive Review of Nocturnal Enuresis in Children

Sarabi

Nikpasand²,

Mahmoudabadi³

et al. 2022

JPR

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Background: Enuresis is a common problem that affects up to 15% of 5‐year‐old children and may have significant psychological, emotional, and social consequences for both the child and their family. Enuresis is the inability of toilet‐trained children to hold urine during the night. It can be classified as primary and secondary. Secondary enuresis occurs in children who have had a dry duration of more than six months; otherwise, it is called primary enuresis. Objectives: This narrative review aims to summarize the available data on the epidemiology, etiology, pathophysiology, evaluation, and treatment of children with enuresis. Methods: This study was conducted through a literature search with the keywords based on Medical Subject Headings (MESH) and were combined with other keywords, including enuresis, pediatric, incontinence, and treatment using PubMed, Embase, Web of Sciences, Scopus, and Cochrane databases. Results: The initial evaluation of enuresis needs a detailed medical history and a careful physical examination with no need for radiology and invasive procedures. The treatment’s mainstay is non‐pharmacological treatments, such as behavioral intervention followed by pharmacotherapy. The appropriate treatment chosen depends on the children's age, midnight voiding patterns, and family and child preferences. Conclusions: Enuresis is a common disorder that affects both the child and the family in many ways. Enuresis's etiology is complex, and it is still not well understood. The child and family must be included in the treatment process, and potential pathophysiological causes must be taken into account.

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“…LA, one application of low‐level laser therapy (LLLT), has been applied in clinics for stimulating acupoints lately than traditional acupuncture because of its non‐thermal, non‐invasive and without bleeding or blood clot formation properties (Hu et al., 2021; Moskvin & Agasarov, 2020). LA has a low recurrence rate and can be an alternative treatment in individuals with NE (Azarfar et al., 2017). Moreover, according to Kiddoo (2015) they are more efficient than sham techniques at decreasing enuresis and recurrence rates; however, the evidence is insufficient.…”

Section: Introductionmentioning

confidence: 99%

Effect of laser acupuncture on monosymptomatic nocturnal enuresis in adolescent females: A randomized controlled trial

Botla,

Mustafa,

Abd‐elmonem

et al. 2023

Physiotherapy Res Intl

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Background and aimNocturnal enuresis (NE) is prevalent in children and adolescents and affects their social life later. Therefore, the objective of this study was to ascertain laser acupuncture (LA) therapy's effect on NE in adolescent females.MethodsSixty adolescent females diagnosed with chronic monosymptomatic nocturnal enuresis (MNE) were randomly divided into two equal groups: The intervention group (received LA and desmopressin) and the control group (received desmopressin only) (n = 30 each). Treatment was delivered and LA was used three times a week for 12 successive weeks. Abdominal ultrasonography and voiding calendar were used to assess bladder capacity and maximum voiding volume (MVV), respectively. The frequency of bed wetness was assessed throughout the trial period in a diary.ResultsStatistically significant differences were reported in the intervention group. Bladder capacity significantly increased in the intervention group (LA and desmopressin) than in the control group.ConclusionsThe results of this study suggest the beneficial influences of LA on MNE, despite the very poor quality of the literature's available evidence.

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A Systematic Review and a Meta-Analysis of Using Acupuncture for the Treatment of Nocturnal Enuresis

Cited by 5 publications

References 16 publications

Traditional, Complementary, and Alternative Medicine in Nocturnal Enuresis in Children

Traditional, Complementary, and Alternative Medicine in Nocturnal Enuresis in Children

Comprehensive Review of Nocturnal Enuresis in Children

Effect of laser acupuncture on monosymptomatic nocturnal enuresis in adolescent females: A randomized controlled trial

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