A system for the treatment of nocturnal enuresis in children

BACKGROUND: This paper presents our findings related to the treatment of children with nocturnal enuresis using our own rehabilitation system. The basic three elements of the therapeutic process include: 1st stage: assessment of the way in which a child urinates; 2nd stage: treatment of bladder dysfunctions; 3rd stage: learning to wake up in order to urinate. METHODS: Medical records of 198 children were used in the study. Group 1: children with monosymptomatic nocturnal enuresis. Group 2: children with polisymptomatic nocturnal enuresis. Group 1 was treated with the use of alarm device (AD). The treatment in group 2 started with the urotherapy and pharamacotherapy of bladder dysfunctions, if the treatment was effective a therapy with the use of alarm device was recommended. RESULTS: A therapy with an AD was carried out in 122 children, 6 started to wake up without episodes of NE that would trigger the alarm, in 31 the ability to wake up in order to urinate developed in the first month of the therapy, 35 were cured after 2 months, in another 5 children the therapy was continued and was successfully completed in the 3rd month of using the AD. In total, 77 children (63.1%) treated using AD were considered as cured. CONCLUSIONS: The system for the treatment based on the functional division is effective both in children with normal bladder function and in patients with symptoms of urinary tract dysfunction. The treatment with AD is more effective in children with monosymptomatic than with polisymptomatic nocturnal enuresis.