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• W2069144793 abstract "No AccessJournal of UrologyPEDIATRIC UROLOGY: International Enuresis Research Center Workshop1 Dec 2001EXAMINATION OF THE STRUCTURED WITHDRAWAL PROGRAM TO PREVENT RELAPSE OF NOCTURNAL ENURESIS RICHARD J. BUTLER, PHILIP HOLLAND, and JOANNE ROBINSON RICHARD J. BUTLERRICHARD J. BUTLER More articles by this author , PHILIP HOLLANDPHILIP HOLLAND More articles by this author , and JOANNE ROBINSONJOANNE ROBINSON More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)65617-0AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: A variety of treatment options are available for children with nocturnal enuresis. The success of any intervention depends on if the child remains dry once the treatment is withdrawn. All interventions for children with nocturnal enuresis are vulnerable to some degree of relapse. Pharmacological interventions, involving either desmopressin or imipramine, seem particularly susceptible to relapse occurring rapidly once medication is withdrawn. The usual practice is to taper the dose gradually although this is time-consuming and of questionable effectiveness. An alternative approach is to use a time-limited structured withdrawal program, the success of which has been recently documented. We investigated the effectiveness of the structured withdrawal program to understand the variables related to success. Materials and Methods: A total of 51 patients 7 to 16 years old were included in the 8-week structured withdrawal program. Patients were 90% dry with medication taken for 4 to 24 months before the program and had experienced 2 unsuccessful withdrawal attempts. Patients were offered the choice of using an enuresis alarm on medication-free nights. Progress was monitored at 2, 5 and 8 weeks, and long-term success was defined as no relapse 6 months after cessation of treatment. Results: At weeks 9 and 10 with complete cessation of medication 74.5% of children remained dry, and success was not related to use of an enuresis alarm. Conclusions: The structured withdrawal program significantly reduces relapse rates, and offers an alternative and rapid means of successfully withdrawing medication. It is argued that the influential variable concerns the ability of the child to shift attribution for success from an external source (that is medication) to an internal focus (that is changes in themselves). References 1 : Fifty years of enuresis alarms. Arch Dis Child1989; 64: 879. Google Scholar 2 : Enuresis and behavioural deviance: some epidemiological considerations. In: Bladder Control and Enuresis. Edited by . London: Heinemann1973: 137. chapt17. Google Scholar 3 : Improvements in self-concept after treatment of nocturnal enuresis: randomized controlled trial. J Pediatr1987; 110: 647. Google Scholar 4 : Self-esteem before and after treatment in children with nocturnal enuresis and urinary incontinence. Scand J Urol Nephrol1997; 183: 79. Google Scholar 5 : Behavioral treatments for nocturnal enuresis in children: a review of the recent literature. Psychol Bull1977; 84: 30. Google Scholar 6 : Childhood enuresis: prevalence, perceived impact, and prescribed treatments. Paediatrics1986; 77: 482. Google Scholar 7 : Primary nocturnal enuresis: current concepts about an old problem. Paediatr Ann1991; 20: 246. Google Scholar 8 : Nocturnal Enuresis: The Child’s Experience. Oxford: Butterworth Heinemann1994. Google Scholar 9 : Enuresis. In: Clinical Behaviour Therapy and Behaviour Modification. Edited by . London: Garland STPM Press1980: 81. chapt3. Google Scholar 10 : Desmopressin response of enuretic children. Effects of age and frequency of enuresis. Am J Dis Child1983; 137: 962. Google Scholar 11 : Desmopressin acetate and nocturnal enuresis: how much do we know?. J Pediatr1993; 92: 420. Google Scholar 12 : Nocturnal enuresis as a biobehavioural problem. Behav Ther1991; 22: 133. Google Scholar 13 : The psychopharmacology of nocturnal enuresis. In: Bladder Control and Enuresis. Edited by . London: Heinemann1973: 231. chapt21. Google Scholar 14 : Enuresis. In: Child and Adolescent Psychiatry: Modern Approaches. Edited by . Oxford: Blackwell Scientific Publications1997: 505. chapt 29. Google Scholar 15 : Nocturnal enuresis and daytime wetting: a multicentric trial with oxybutynin and desmopressin. Eur Urol1979; 31. Google Scholar 16 : Plasma vasopressin and response to treatment in primary nocturnal enuresis. Arch Dis Child1999; 80: 448. Google Scholar 17 : The three systems: a conceptual way of understanding nocturnal enuresis. Scand J Urol Nephrol2000; 34: 270. Google Scholar 18 : A controlled comparison of two treatments for nocturnal enuresis. J Pediatr1982; 101: 302. Google Scholar 19 : Abnormal diurnal rhythm of plasma vasopressin and urinary output in patients with enuresis. Am J Physiol1989; 256: 664. Google Scholar 20 : Primary nocturnal enuresis: a comparison among observation, imipramine, desmopressin acetate and bed-wetting alarm systems. J Urol1995; 154: 745. Link, Google Scholar 21 : Desmopressin for bed wetting: length of treatment, vasopressin secretion, and response. Arch Dis Child1992; 67: 184. Google Scholar 22 : A controlled study of imipramine. J Pediatr1982; 67: 283. Google Scholar 23 : Nocturnal enuresis: experience with long-term use of intranasally administered desmopressin. J Pediatr1989; 114: 723. Google Scholar 24 : Long-term use and tapered dose reduction of intranasal desmopressin in the treatment of enuretic children. Br J Urol, suppl.1998; 81: 24. Google Scholar 25 : Preventing relapse following medication for the treatment of childhood nocturnal enuresis. Paediatr Today1998; 6: 30. Google Scholar 26 : The body-worn alarm in the treatment of childhood enuresis. Br J Clin Pract1990; 44: 237. Google Scholar 27 : Establishment of working definitions in nocturnal enuresis. Arch Dis Child1991; 66: 267. Google Scholar 28 : Comparison of desmopressin and enuresis alarm for nocturnal enuresis. Arch Dis Child1986; 61: 30. Google Scholar 29 : The Child Within: The Exploration of Personal Construct Theory With Young People. Oxford: Butterworth Heinemann1998. Google Scholar From the Leeds Community and Mental Health (NHS) Trust and Leeds Acute Hospitals Trust, Leeds, United Kingdom© 2001 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byGökçe M, Hajıyev P, Süer E, Kibar Y, Sılay M, Gürocak S, Doğan H, Irkılata H, Oktar T, Önal B, Erdem E, Aygün Y, Balcı C, Arslan A, Kaya C, Soygür T, Sarıkaya Ş, Tekgül S and Burgu B (2018) Does Structured Withdrawal of Desmopressin Improve Relapse Rates in Patients with Monosymptomatic Enuresis?Journal of Urology, VOL. 192, NO. 2, (530-534), Online publication date: 1-Aug-2014.Kwak K, Lee Y, Park K and Baek M (2018) Efficacy of Desmopressin and Enuresis Alarm as First and Second Line Treatment for Primary Monosymptomatic Nocturnal Enuresis: Prospective Randomized Crossover StudyJournal of Urology, VOL. 184, NO. 6, (2521-2526), Online publication date: 1-Dec-2010.Marschall-Kehrel D and Harms T (2009) Structured Desmopressin Withdrawal Improves Response and Treatment Outcome for Monosymptomatic Enuretic ChildrenJournal of Urology, VOL. 182, NO. 4S, (2022-2027), Online publication date: 1-Oct-2009.HJALMAS K, ARNOLD T, BOWER W, CAIONE P, CHIOZZA L, von GONTARD A, HAN S, HUSMAN D, KAWAUCHI A, LÄCKGREN G, LOTTMANN H, MARK S, RITTIG S, ROBSON L, WALLE J and YEUNG C (2018) NOCTURNAL ENURESIS: AN INTERNATIONAL EVIDENCE BASED MANAGEMENT STRATEGYJournal of Urology, VOL. 171, NO. 6 Part 2, (2545-2561), Online publication date: 1-Jun-2004. Volume 166Issue 6December 2001Page: 2463-2466 Advertisement Copyright & Permissions© 2001 by American Urological Association, Inc.Keywordsenuresis, recurrencedesmopressinMetricsAuthor Information RICHARD J. BUTLER More articles by this author PHILIP HOLLAND More articles by this author JOANNE ROBINSON More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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