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Jan 1, 2021 Issue
Effectiveness of Alarm Therapy in the Treatment of Nocturnal Enuresis in Children [Medicine by the Numbers]
This review concluded that alarm therapy appears to be effective for treating nocturnal enuresis in children, but it is uncertain if it is more effective than other interventions.
Management should first address possible associated conditions before progressing to enuresis therapy. Bed alarm therapy and desmopressin are considered first-line treatment.
Enuresis is defined as repeated, spontaneous voiding of urine during sleep in a child five years or older. It affects 5 to 7 million children in the United States. Primary nocturnal enuresis is caused by a disparity between bladder capacity and nocturnal urine production and failure of the child to ...
What are the effects of interventions for the relief of symptoms?
Nocturnal enuresis is a common problem that can be troubling for children and their families. Recent studies indicate that nocturnal enuresis is best regarded as a group of conditions with different etiologies. A genetic component is likely in many affected children. Research also indicates the poss...
May 1, 2002 Issue
Is Alarm Intervention Effective in the Treatment of Enuresis? [Cochrane for Clinicians]
Pharmacologic treatments (desmopressin and tricyclic antidepressants) and alarm devices are effective for controlling nocturnal enuresis during treatment. There is limited evidence of lower relapse rates after stopping alarm-device treatment than after stopping medication.
Primary nocturnal enuresis sometimes presents significant psychosocial problems for children and their parents. Causative factors may include maturational delay, genetic influence, difficulties in waking and decreased nighttime secretion of antidiuretic hormone. Anatomic abnormalities are usually no...