| High initial efficacy of full-spectrum therapy for nocturnal enuresis in children and adolescents. | |
| | |
MedLine Citation:
|
PMID: 12081776 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: To investigate the initial efficacy and predictive factors of full-spectrum therapy in the treatment of children and young adolescents with nocturnal enuresis (NE). PATIENTS AND METHODS: Combined therapy for NE comprises an enuresis alarm, bladder training, motivational therapy and pelvic floor muscle training, and is more effective than each of the components alone or than medical intervention. A total of 60 children and adolescents (aged 4-20 years) with NE were treated once a week with full-spectrum therapy for a maximum of 6 months. RESULTS: Overall the therapy was successful (14 consecutive dry nights) in 52 of 60 patients. At 30 days the cure rate was 33%, after 60 days 72% and after 98 days, 87%. The remaining 13% did not achieve 14 consecutive dry nights; seven patients improved, having fewer dry nights/week. One patient discontinued the treatment because of lack of motivation. In children with an initial maximum bladder capacity less than normal for age, the capacity increased from 53% of the normal maximum bladder capacity in week 1 to 88% at the end of treatment. Neither age, gender, sleep arousal, bladder capacity, family history and pathophysiological profile had any association with the success rate. CONCLUSION: The short-term success rate of full-spectrum therapy for NE is high. Age, gender, sleep arousal, bladder capacity, family history and pathophysiological profile of enuresis are unrelated to the success of the intervention. |
| | |
Authors:
|
M Van Kampen; G Bogaert; H Feys; L Baert; I De Raeymaeker; W De Weerdt |
Related Documents
:
|
15311046 - Spinal cord injury in children: long-term urodynamic and urological outcomes. 8408136 - Operative treatment of sacrococcygeal chordoma. a review of twenty-one cases. 18982236 - Effect of alfuzosin on female primary bladder neck obstruction. 2336746 - Evaluation and management of urinary incontinence after surgery for posterior urethral ... 1638346 - Long-term results of one-stage scrotal patch urethroplasty. 11239036 - Difference in the homocysteine-lowering effect of folic acid in haemodialysis patients ... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: BJU international Volume: 90 ISSN: 1464-4096 ISO Abbreviation: BJU Int. Publication Date: 2002 Jul |
Date Detail:
|
Created Date: 2002-06-25 Completed Date: 2002-09-09 Revised Date: 2006-07-18 |
Medline Journal Info:
|
Nlm Unique ID: 100886721 Medline TA: BJU Int Country: England |
Other Details:
|
Languages: eng Pagination: 84-7 Citation Subset: IM |
Affiliation:
|
Faculty of Physical Education and Physiotherapy, Univeristy Hospital, KU Leuven, Belgium. marijke.vankampen@uz.kuleuven.ac.be |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Behavior Therapy / methods Child Child, Preschool Combined Modality Therapy / methods Enuresis / therapy* Exercise Therapy / methods Female Humans Male Motivation Self-Help Devices Sound Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Does monosymptomatic enuresis exist? A molecular genetic exploration of 32 families with enuresis/in...
Next Document: Distal hypospadias: which repair?