Bedwetting Alarms

Best Treatment for Nocturnal Enuresis in Children

CLINICAL COMMENTARY

Alarms have a high success rate with commitment

Nocturnal enuresis is embarrassing to children and frustrating to parents. Even though it has a usually benign, self-limited course, many families want to hear about treatment options. Enuresis alarms have a high success rate in achieving dry nights during treatment and maintaining dry nights once treatment stops. The success of alarms requires a motivated child and family plus a significant time and effort commitment for 3 to 6 months.(1)

Evidence summary

Nocturnal enuresis is an involuntary loss of urine at night in the absence of congenital or acquired central nervous system defect among children over 5 years of age.(2) Approximately 15% of children aged >5years wet their bed at night.(3) The spontaneous resolution rate is about 15% per year.(3) Before primary care treatment, indications for urological referral should be excluded, including daytime wetting, abnormal voiding (unusual posturing, discomfort, straining, or poor urine stream), recurrent urinary tract infections, neurological and anatomical anomalies, and urgency symptoms.(4)

References:

(1) http://www.jfponline.com/Pages.asp?AID=2759

(2) Glazener CM, Evans H, Peto RE. Alarm interventions for nocturnal enuresis in children. Cochrane Database Syst Rev 2003;(2):CD002911.

(3) Mammen AA, Ferrer FA. Nocturnal enuresis: medical management. Urol Clin North Am 2004;31:491–498.

(4) Fritz G, Rockney R. American Academy of Child and Adolescent Psychiatry Work Group on Quality Issues. Summary of the practice parameter for the assessment and treatment of children and adolescents with enuresis. J Am Acad Child Adolesc Psychiatry 2004;43:123–125.

A very suitable Wireless Bedwetting Alarm to conveniently reduce Nocturnal Enuresis in Children is DryBuddy.

A detailed selection methodology to compare and select a good bedwetting and enuresis alarm can be found at Bed-Wetting Alarms & Enuresis Alarms .

Detailed comparisons of four wireless bedwetting alarms (including DryBuddy) can be found here .

Enuresis alarms are also described here .

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