Alarm Treatment for Childhood Nocturnal Enuresis: An Investigation of Within-treatment Variables

Rj, Butler; Robinson, Joanne C

doi:10.1080/003655902320248227

Cited by 32 publications

(24 citation statements)

References 19 publications

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“…Monda (1995) showed that, of the 79 patients treated with alarm therapy 63% were continent at 6 months and 56% were dry at 12 months. In our study, the 72% initial success rate obtained by the participants is in accordance with previous results of Butler (2002, Fai -Ngo (2005) and Van Leerdam (2004) -65% on average. But as the relapse criterion was defined as more than one wet night per week after dryness was achieved our longterm data showed that relapse is the main problem of this therapy.…”

Section: Discussionsupporting

confidence: 81%

A Two Years Follow-Up Study of Children with Monosymptomatic Enuresis Treated with Enuresis Alarm

Özgür¹,

Ekıcı²,

Karakan³

et al. 2013

PRIJ

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Objective: Nocturnal enuresis is a common problem among children. This multifactorial disease is a source of stress of the families. Therefore, it is important how to approach the disorder, plan the treatment in order to provide a satisfactory cure rate. The aim of this study was to evaluate the long term results of alarm therapy after an initial response. Materials Methods:The study consisted of 36 of 50 patients with nocturnal enuresis, that were responded alarm therapy after three months treatment. At the end of the second year, detailed interviews with the parents of the children were recorded.Results: It was found that only 6 (16.7%) patients achieved complete dryness with the alarm device and no different treatment modalities were needed after the initial success. The remaining 30 (83.3%) patients had recurrence in the subsequent period and 25 (%83.3) of them tried retreatment. Conclusions:In long term follow up recurrence rates are high and families may seek different treatment approaches. Recurrence probabilities should be emphasized to the families at the beginning of the alarm treatment for monosymptomatic nocturnal enuresis.

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Section: Discussionsupporting

confidence: 81%

A Two Years Follow-Up Study of Children with Monosymptomatic Enuresis Treated with Enuresis Alarm

Özgür¹,

Ekıcı²,

Karakan³

et al. 2013

PRIJ

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show abstract

“…Some factors may affect the response to alarm treatment, especially those of a psychological nature, such as marital conflict, lack of motivation and parental punishment (13). The physiological aspects associated with a poor response to alarm treatment include the difficulty to wake up with the sound of the device (15). The literature concerning the impact of enuresis severity on the outcome of alarm treatment is contradictory, with both positive (13) and negative (16) impacts being reported.…”

Section: Introductionmentioning

confidence: 90%

Behavioral alarm treatment for nocturnal enuresis

2010

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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.

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“…* Two of the complete responders relapsed but fell into partial responders group Compared with previous reports from other populations, our interventions were less successful. Butler et al [20] recently reported complete remission in 54.5% and partial success in 12.1% of patients with alarm therapy for 16 weeks. The commonly reported response rates for desmopressin have varied from 61% to 93% [21,22,23,24,25,26].…”

Section: Discussionmentioning

confidence: 95%

Comparing alarms, desmopressin, and combined treatment in Chinese enuretic children

Wong

2004

Pediatr Nephrol

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The objective of this multicenter randomized controlled trial was to compare the efficacy of enuresis alarms, oral desmopressin, and combined treatment in Chinese children with monosymptomatic primary nocturnal enuresis. We assigned 105 children aged 7-15 years to receive alarms (group 1, 35 patients), oral desmopressin 400 mug (group 2, 38 patients), or combined therapy (group 3, 32 patients) for 12 weeks; patients were then followed for 12 weeks after treatment. The wetting frequency decreased during treatment by 46%, 52%, and 73% in groups 1, 2, and 3, respectively. In groups 2 and 3, but not in group 1, there was rebound post treatment, but significant improvements persisted at 12 weeks. The complete and partial response rates were 22.9% and 20%, respectively in group 1, 42% and 10.5% in group 2, and 62.5% and 15.6% in group 3. By Kaplan-Meier analysis, group 1 had a significantly poorer response than groups 2 and 3. Of the responders, 20%, 60%, and 40% in groups 1, 2, and 3, respectively, relapsed after stopping treatment. In conclusion, enuresis alarms and/or oral desmopressin were less efficacious in Chinese than in Western societies. Desmopressin produced an immediate effect but relapses were common. Alarms took several weeks to produce a benefit, which was persistent on follow-up.

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Alarm Treatment for Childhood Nocturnal Enuresis: An Investigation of Within-treatment Variables

Cited by 32 publications

References 19 publications

A Two Years Follow-Up Study of Children with Monosymptomatic Enuresis Treated with Enuresis Alarm

A Two Years Follow-Up Study of Children with Monosymptomatic Enuresis Treated with Enuresis Alarm

Behavioral alarm treatment for nocturnal enuresis

Comparing alarms, desmopressin, and combined treatment in Chinese enuretic children

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