Dry-bed training and retention control training: A comparison

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).…”

Childhood Sleep Disorders

“…McClain (1979) claimed a success rate of 30% for this method but, as this is not substantially higher than the rate of spontaneous remission, the actual effectiveness of bladder training has been questioned. Some investigators have disputed the claim that this technique actually increases bladder capacity (Doleys, 1977); some have suggested that it may instead simply help make the child more aware of the sensations associated with elimination and a full bladder (McClain, 1979).…”

Bladder-Control Problems and Self-Catheterization

“…While Mowrer and Mowrer (1938) reported 100% success with their 30 children, subsequent studies have found rates of success to be more like 80% in using this approach (Doleys, Ciminero, Tollison, & Wells, 1977;Lovibond, 1964;Young, 1965). Follow-ups as long as 4 years after initial treatment have indicated that the success achieved using the Mowrer pad method is relatively long lasting (Deleon & Sacks, 1972), however, there is indication of a relapse rate of approximately 20-30% with the bell pad method following initial treatment Gohnson, 1981;Young & Morgan, 1972a).…”

“…Starfield (1972) and Paschalis, Kimmel, and Kimmel (1972) reported moderate success using a procedure of training improved bladder retention capacity through the lengthening of the delay between initial urination and need detection and actual elimination coupled with practice at starting and stopping the urine stream. However, several subsequent studies have indicated little success when using this procedure with their clinical subjects (Doleys, Ciminero, Tollison, & Wells, 1977;Harris & Purohit, 1977). Since even the best success cited with this procedure (33-43%) is only approximately one half that obtained using the Mowrer pad method, it would be difficult to recommend this procedure to parents by itself unless there was a specific knowledge of a bladder-size problem (i.e., volume less than 200 ml).…”