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Behavioral therapy for primary nocturnal enuresis.
J Urol. 2004 Jan; 171(1):408-10.JU

Abstract

PURPOSE

Recent studies suggest the efficacy of behavioral therapy for enuresis, even in cases of minor daytime voiding problems. We describe our experience with the clinical followup and behavioral therapy of children with primary enuresis.

MATERIALS AND METHODS

We followed 159 boys and 91 girls 5 to 17 years old with primary enuresis who were treated at 3 medical centers with a pediatric nephrology clinic during the last 3 years. A detailed voiding history was obtained. Each child was treated with a bladder training session, including an explanation of the enuretic process, daily diary recording and training to recognize bladder distention and increase voiding frequency.

RESULTS

A total of 226 children (90%) presented with 1 or more symptoms of bladder maturation delay and 13% reported behavioral constipation. Of the patients 185 (74%) completed the proposed treatment, including 111 (60%) who reported a positive and 21 (11%) who reported a partial response. In 53 children (29%) the treatment failed.

CONCLUSIONS

Most children with enuresis have daytime symptoms when an accurate history is recorded. As shown by our data, the efficacy of behavioral therapy is comparable to that of desmopressin or alarm therapy but it requires good compliance of the child with the therapeutic plan. Age is not a determining factor in the success rate.

Authors+Show Affiliations

Pediatric Department, IRCCS Burlo Garafolo, University of Trieste, Italy. pennesi@burlo.trieste.itNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study

Language

eng

PubMed ID

14665944

Citation

Pennesi, Marco, et al. "Behavioral Therapy for Primary Nocturnal Enuresis." The Journal of Urology, vol. 171, no. 1, 2004, pp. 408-10.
Pennesi M, Pitter M, Bordugo A, et al. Behavioral therapy for primary nocturnal enuresis. J Urol. 2004;171(1):408-10.
Pennesi, M., Pitter, M., Bordugo, A., Minisini, S., & Peratoner, L. (2004). Behavioral therapy for primary nocturnal enuresis. The Journal of Urology, 171(1), 408-10.
Pennesi M, et al. Behavioral Therapy for Primary Nocturnal Enuresis. J Urol. 2004;171(1):408-10. PubMed PMID: 14665944.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Behavioral therapy for primary nocturnal enuresis. AU - Pennesi,Marco, AU - Pitter,Maurizio, AU - Bordugo,Andrea, AU - Minisini,Silvia, AU - Peratoner,Leopoldo, PY - 2003/12/11/pubmed PY - 2004/1/30/medline PY - 2003/12/11/entrez SP - 408 EP - 10 JF - The Journal of urology JO - J Urol VL - 171 IS - 1 N2 - PURPOSE: Recent studies suggest the efficacy of behavioral therapy for enuresis, even in cases of minor daytime voiding problems. We describe our experience with the clinical followup and behavioral therapy of children with primary enuresis. MATERIALS AND METHODS: We followed 159 boys and 91 girls 5 to 17 years old with primary enuresis who were treated at 3 medical centers with a pediatric nephrology clinic during the last 3 years. A detailed voiding history was obtained. Each child was treated with a bladder training session, including an explanation of the enuretic process, daily diary recording and training to recognize bladder distention and increase voiding frequency. RESULTS: A total of 226 children (90%) presented with 1 or more symptoms of bladder maturation delay and 13% reported behavioral constipation. Of the patients 185 (74%) completed the proposed treatment, including 111 (60%) who reported a positive and 21 (11%) who reported a partial response. In 53 children (29%) the treatment failed. CONCLUSIONS: Most children with enuresis have daytime symptoms when an accurate history is recorded. As shown by our data, the efficacy of behavioral therapy is comparable to that of desmopressin or alarm therapy but it requires good compliance of the child with the therapeutic plan. Age is not a determining factor in the success rate. SN - 0022-5347 UR - https://www.unboundmedicine.com/medline/citation/14665944/Behavioral_therapy_for_primary_nocturnal_enuresis_ L2 - https://www.jurology.com/doi/10.1097/01.ju.0000097497.75022.e8?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -