Role of Non-pharmacological Therapy in Children With Bed Wetting Non-pharmacological Therapy and Bed Wetting
Journal of Pediatric Nephrology,
Vol. 11 No. 1 (2023),
13 September 2023
https://doi.org/10.22037/jpn.v11i1.41840
Abstract
Background and Aim: Bedwetting or enuresis is not uncommon in children, although
its prevalence varies by age. Spontaneous remission of enuresis may occur at a rate of
approximately 15% per year, but treatment protocols should be carried out because of its
significant impact on a child’s family, emotional state, self-esteem, and totally on the quality
of life (QoL). Today, non-pharmacological therapy is an initial treatment for enuresis,
in which both the parents and children are motivated to take the behavioral management
approach. This study was done to determine the effectiveness of non-pharmacological
therapy in pediatrics with enuresis.
Methods: This prospective observational research was carried out in pediatrics aged 5
to 15 years with bedwetting who visited the outpatient department of Asgar Ali Hospital
from January 2021 to December 2021. They were categorized into two groups, primary
and secondary (monosymptomatic and non-monosymptomatic) enuresis according to the
definition of the international children’s continence society (ICCS). Also, our patients were
divided into different age groups: Group A: 5-7 years, group B: 8-10 years, and group C: >10
years, and the response was classified as no response: <50%, partial response: 50-99%, and
complete response: 100% reduction in baseline symptom frequency.
Results: Among the 74 patients, 28 cases (38%) were male and 46 cases (62%) were female,
with most of them having primary enuresis 72(97%), and only two patients had secondary
enuresis. Most patients were monosymptomatic 62(83.7%), and only 12 cases (16%) were
non-monosymptomatic. Among 32 patients (43%) of group A, 87.5% had complete response
within three months of follow-up, in group B, of a total of 20 patients (27%), 40% had
complete and 40% had partial response, and in group C, among 22 patients (30%), only 9%
had complete and 46% had partial response.
Conclusion: Non-pharmacological therapy in enuretic patients showed encouraging
recovery.
- bedwetting, non-pharmacological therapy, response.
- 2023-11-20 (2)
- 2023-09-13 (1)
How to Cite
References
Nevéus T, Fonseca E, Franco I, Kawauchi A, Kovacevic L,
Nieuwhof-Leppink A, et al. Management and treatment of
nocturnal enuresis-an updated standardization document
from the International Children’s Continence Society. J Pediatr
Urol. 2020; 16(1):10-19. [DOI:10.1016/j.jpurol.2019.12.020]
[PMID]
Klackenberg G. Nocturnal enuresis in a longitudinal perspective.
A primary problem of maturity and/or a secondary
environmental reaction? Acta Paediatr Scand. 1981; 70(4):453-
[DOI:10.1111/j.1651-2227.1981.tb05722.x] [PMID]
Austin PF, Bauer SB, Bower W, Chase J, Franco I, Hoebeke
P, et al. The standardization of terminology of lower urinary
tract function in children and adolescents: Update report from
the standardization committee of the International Children’s
Continence Society. Neurourol Urodyn. 2016; 35(4):471-81.
[DOI:10.1002/nau.22751] [PMID]
Joinson C, Heron J, Butler R, Von Gontard A, Butler U,
Emond A, et al. A United Kingdom population-based study
of intellectual capacities in children with and without soiling,
daytime wetting, and bed-wetting. Pediatrics. 2007;
(2):e308-16. [DOI:10.1542/peds.2006-2891] [PMID]
Demir M, Avci V. Factors Affecting the Age of Application
in Children with Enuresis Nocturnal: A Multicentric Study
from the Eastern of Turkey. Turkish J of Health Sciences.
;6(3):448-52. [DOI:10.26453/otjhs.945782]
Butler RJ, Heron J. The prevalence of infrequent bedwetting
and nocturnal enuresis in childhood: A large
British cohort. Scand J Urol Nephrol. 2008; 42(3):257-64.
[DOI:10.1080/00365590701748054] [PMID]
Prasad V, Sing N. effectiveness of non-pharmacological
therapy on bed wetting in children. J Drug Deliv Ther. 2011,
(1):78-80. [DOI:10.22270/jddt.v1i1.817]
Wan J, Greenfield S. Enuresis and common voiding abnormalities.
Pediatr Clin North Am. 1997; 44(5):1117-31.
[DOI:10.1016/S0031-3955(05)70550-2] [PMID]
Ferrara P, Franceschini G, Bianchi Di Castelbianco F, Bombace
R, Villani A, Corsello G. Epidemiology of enuresis: A
large number of children at risk of low regard. Ital J Pediatr.
; 46(1):128. [DOI:10.1186/s13052-020-00896-3] [PMID]
[PMCID]
Jalkut MW, Lerman SE, Churchill BM. Enuresis. Pediatr
Clin North Am. 2001; 48(6):1461-88. [DOI:10.1016/S0031-
(05)70386-2] [PMID]
National Clinical Guideline Centre (UK). Nocturnal enuresis:
The management of bedwetting in children and young
people. London: Royal College of Physicians (UK); 2010.
[PMID]
Longstaffe S, Moffatt ME, Whalen JC. Behavioral and selfconcept
changes after six months of enuresis treatment: A
randomized, controlled trial. Pediatrics. 2000; 105(4 Pt 2):935-
[DOI:10.1542/peds.105.S3.935] [PMID]
Hjalmas K, Arnold T, Bower W, Caione P, Chiozza LM,
von Gontard A, et al. Nocturnal enuresis: An international
evidence based management strategy. J Urol. 2004; 171(6 Pt
:2545-61. [DOI:10.1097/01.ju.0000111504.85822.b2] [PMID]
Bennett HJ. Waking up dry: A guide to help children overcome
bedwetting. Elk Grove Village, IL: American Academy
of Pediatrics, 2005. [DOI:10.1542/9781581105285]
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