New device and new concept for treating nocturnal enuresis: Preliminary results of a phase one study

Barroso, Ubirajara; Lordêlo, Patrícia; Teles, Alcina; Silveira, Daniel Moreira; Renson, Catherine

doi:10.1016/j.jpurol.2014.06.023

Cited by 3 publications

(3 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…On the one hand, pelvic floor muscle contraction induced by electrical stimulus may cause an increased urethral closure pressure, which allows children to keep dry during nighttime. On the other hand, alarm would also be triggered by the humidity sensor, and children would be waked to void [65]. This device needs more trials to determine its effectiveness and safety.…”

Section: New About Diagnostic and Treatmentmentioning

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

View full text Add to dashboard Cite

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.

show abstract

Section: New About Diagnostic and Treatmentmentioning

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

View full text Add to dashboard Cite

show abstract

“…There are four types of nocturnal alarms explained in studies, these are the sound (Glazener Cathryn MA, et al 2002&, Ozgur B C, et al 2009, the vibration (Tobias NE, et al 2001) which combines an electrical impulse with a sound (Hojsgaard A, et al 1979) and code words (Barroso U, et al 2014). The most commonly used alarm is the one that produces a sound, and device that has been tested with different volumes, with or without associated light.…”

Section: Pajama (Under Wear) Devicementioning

confidence: 99%

“…In such case, children are rewarded when they remember the word that was recorded by the device with the voice of the parents before the night, instead of being rewarded for having a night without the episode of bedwetting. The motivation and positive approach is an important factor during the awakening process of individuals, and by using a code word at night decreases the threshold to raise these children, by activating them in a playful way, by a game (Barroso U, et al 2014).…”

Section: Pajama (Under Wear) Devicementioning

confidence: 99%

Nocturnal Enuresis: A Synopsis of Behavioral and Pharmacological Management

Siddiqui¹,

Qureshi²,

Allaithy³

et al. 2018

Sleep Hypn

View full text Add to dashboard Cite

Nocturnal enuresis (NE) is involuntary urination that occurs at night during sleep without any inherent suggestion of frequency of bedwetting or pathophysiology. For this review, a thorough internet search was done using the search engines of PubMed, Scopus, PsycInfo, ScienceDirect, and Google Scholar. In this review, we glow the light on new-insights of behavioral treatment of nocturnal enuresis. The management of nocturnal enuresis has converted from a strictly psychopathological perspective to a bio-behavioral perspective in the past few decades. There are a number of treatment options are available for NE; such as drug therapy, bladder training, auro therapy, positive reinforcement, and the enuresis night alarm. Enuresis night alarm therapy, is presenting lower rates of relapse in the long term, higher cure rate and therefore being considered a gold standard treatment for enuresis, but it is a conditional treatment; it requires patience, persistence and motivation. Several behavioral approaches can be used for treatment such as enuresis night alarm therapy and various skills oriented components, we must do physical examination and rule out a specific medical or organic etiology, as well as urine test should be negative.

show abstract

Innovative, Tech-Driven, And Digital Tools For Managing Pediatric Urinary Incontinence: A Scoping Review (Preprint)

Bladt,

Vermeulen,

Vermandel

et al. 2024

Preprint

View full text Add to dashboard Cite

BACKGROUND Urinary incontinence affects around 7-10% of children during the day and 9-12% during the night. Once anatomical and neurogenic causes are ruled out, treatment mainly involves lifestyle advice and behavioral methods. However, motivation and adherence to these methods, essential for success, are often low. Traditional tools, such as pen-and-paper solutions, may feel outdated to today’s ‘digital native’ children. As healthcare evolves with technology, traditional UI management tools may no longer meet children’s needs, potentially affecting their motivation and adherence. OBJECTIVE Our objective was to identify innovative, tech-driven and digital tools for managing pediatric urinary incontinence as alternatives to traditional methods and provide an overview of their supporting evidence. METHODS This scoping review followed PRISMA-ScR guidelines, with a search conducted in March 2022 across PubMed, Web of Science, and Cochrane Library, without date limits. The review focused on innovative, tech-driven and digital tools for pediatric urinary incontinence management, covering a wide range of dysfunctions and behavioral methods. Articles involving adults, lacking results, not in English, or missing full texts were excluded. From 2030 articles retrieved, 60 were included after screening, with 6 additional articles identified through cross-references, resulting in a total of 66 included articles. RESULTS The field of pediatric urinary incontinence demonstrates a considerable level of innovation, as evidenced by the inclusion of 66 studies, with nearly one-third (38%, n=25/66) focusing on nocturnal enuresis. Most studies were randomized controlled trials (n=14) or validation studies (n=13), and over one-third (38%, n=25/66) assessed patient experience outcomes such as satisfaction, motivation, and usability. Our analysis led to the identification and classification of six main categories of tools: (i) mobile health (n=7), (ii) serious games (n=7), (iii) reminder technology (n=6), (iv) educational media (n=12), further divided into video (n=5) and other media (n=7), (v) telehealth and remote patient monitoring (n=13), with subcategories of communication (n=5) and technological advances (n=8), and (vi) enuresis alarm innovations (n=21), further divided into novel configurations (n=8) and pre-void alarms (n=13). CONCLUSIONS Many of the tools identified in this review show great promise as feasible and effective alternatives to traditional methods. They engage children well, improving compliance and leading to high satisfaction and preference, while also having the potential to save time for healthcare providers. However, their superiority over traditional methods remains unclear due to study limitations and conflicting results. Additionally, managing pediatric UI is complex due to its multifaceted nature, requiring accurate diagnosis and tailored interventions that consider clinical signs, child characteristics, and stakeholder involvement. We propose that future tools evolve into holistic, adaptive, and personalized ecosystems that align with stakeholders' needs by integrating diverse strategies for urinary incontinence management. Combining different tool categories identified in this review may provide a framework for creating these ecosystems.

show abstract

New device and new concept for treating nocturnal enuresis: Preliminary results of a phase one study

Cited by 3 publications

References 8 publications

Advances in Treatment of Nocturnal Enuresis in Children

Advances in Treatment of Nocturnal Enuresis in Children

Nocturnal Enuresis: A Synopsis of Behavioral and Pharmacological Management

Innovative, Tech-Driven, And Digital Tools For Managing Pediatric Urinary Incontinence: A Scoping Review (Preprint)

Contact Info

Product

Resources

About