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• W2770613280 abstract "No AccessJournal of UrologyPediatric Urology1 Apr 2018The Effect of Family Assistance to Wake Children with Monosymptomatic Enuresis in Alarm Therapy: A Pilot Study Shoji Tsuji, Chikushi Suruda, Takahisa Kimata, Jiro Kino, Sohsaku Yamanouchi, and Kazunari Kaneko Shoji TsujiShoji Tsuji More articles by this author , Chikushi SurudaChikushi Suruda More articles by this author , Takahisa KimataTakahisa Kimata More articles by this author , Jiro KinoJiro Kino More articles by this author , Sohsaku YamanouchiSohsaku Yamanouchi More articles by this author , and Kazunari KanekoKazunari Kaneko More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.11.072AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Alarm therapy is widely used as first line treatment for nocturnal enuresis. However, some children do not wake when nocturnal urination activates the alarm. It is currently unclear whether waking the child when the alarm is activated improves the efficacy of alarm therapy. In this study we investigated the efficacy of alarm therapy for nocturnal enuresis when children do not wake in response to the sound and their parents do not wake them. Materials and Methods: Detailed information regarding incontinence was retrospectively obtained from 78 of 112 patients who underwent alarm therapy between 2006 and 2016, and completed a questionnaire and a 14-day bladder diary. The enrolled patients were divided into 2 groups. In the family assisted group (44) the children were awakened by family members when the alarm sounded. In the alarm control group (34) the children were self-responsible for waking to the alarm. The groups were compared to investigate differences at 16 weeks after alarm therapy began. The efficacy rate was calculated using the International Children’s Continence Society criteria. Results: The efficacy was similar between the groups. Full response and partial response were observed in 36.4% and 20.5% of patients in the family assisted group, and 26.5% and 29.4% of patients in the alarm control group (p = 1.00), respectively. There was no significant difference in the percentage of children who woke spontaneously to the alarm in the 2 groups (56.7% and 64.0%, respectively). Conclusions: Family assisted alarm therapy and self-responsible alarm therapy are equally efficacious in the treatment of childhood nocturnal enuresis. References 1 : Evaluation of and treatment for monosymptomatic enuresis: a standardization document from the International Children's Continence Society. J Urol2010; 183: 441. Link, Google Scholar 2 : Nocturnal enuresis and overactive bladder in children: an epidemiological study. Int J Urol2006; 13: 36. Google Scholar 3 : Sleep fragmentation and periodic limb movements in children with monosymptomatic nocturnal enuresis and polyuria. Pediatr Nephrol2015; 30: 1157. Google Scholar 4 : The role of sleep and arousal in nocturnal enuresis. Acta Paediatr2003; 92: 1118. Google Scholar 5 : Changes in nocturnal bladder capacity during treatment with the bell and pad for monosymptomatic nocturnal enuresis. J Urol1998; 160: 166. Link, Google Scholar 6 : Alarm interventions for nocturnal enuresis in children. Cochrane Database Syst Rev2005; 2: CD002911. Google Scholar 7 : Treatment for nocturnal enuresis: the current state in Japan. Pediatr Int2012; 54: 8. Google Scholar 8 : Depth of sleep and sleep habits among enuretic and incontinent children. Acta Paediatr1999; 88: 748. Google Scholar 9 : Nocturnal enuresis: epidemiology, evaluation, and currently available treatment options. J Pediatr1989; 114: 691. Google Scholar 10 : The standardization of terminology of lower urinary tract function in children and adolescents: report from the Standardisation Committee of the International Children's Continence Society. J Urol2006; 176: 314. Link, Google Scholar 11 : The effect of alarm treatment on the functional bladder capacity in children with monosymptomatic nocturnal enuresis. J Urol2004; 171: 2611. Link, Google Scholar 12 : Arousal training for children suffering from nocturnal enuresis: a 2 1/2 year follow-up. Behav Res Ther1993; 31: 613. Google Scholar 13 : Prepulse inhibition of startle and the neurobiology of primary nocturnal enuresis. Biol Psychiatry1999; 45: 1455. Google Scholar 14 : The mechanism of conditioning treatment of enuresis. Behav Res Ther1963; 1: 17. Google Scholar 15 : A randomised controlled trial of a code-word enuresis alarm. Arch Dis Child2016; 101: 326. Google Scholar © 2018 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byCain M (2018) This Month in Pediatric UrologyJournal of Urology, VOL. 199, NO. 4, (865-866), Online publication date: 1-Apr-2018. Volume 199Issue 4April 2018Page: 1056-1060 Advertisement Copyright & Permissions© 2018 by American Urological Association Education and Research, Inc.Keywordsarousalnocturnal enuresisbehaviorAcknowledgmentsBenjamin Knight, Edanz Group (www.edanzediting.com/ac) provided assistance.MetricsAuthor Information Shoji Tsuji More articles by this author Chikushi Suruda More articles by this author Takahisa Kimata More articles by this author Jiro Kino More articles by this author Sohsaku Yamanouchi More articles by this author Kazunari Kaneko More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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• W2770613280 title "The Effect of Family Assistance to Wake Children with Monosymptomatic Enuresis in Alarm Therapy: A Pilot Study" @default.
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