Efficacy of alarm intervention in primary monosymptomatic nocturnal enuresis in children

Gourav Claudius; Jugesh Chhatwal; Inderpreet Sohi

doi:10.18203/2349-3291.ijcp20161051

Authors

Gourav Claudius Department of Pediatrics, Christian Medical College, Ludhiana, Punjab 141008, India
Jugesh Chhatwal Department of Pediatrics, Christian Medical College, Ludhiana, Punjab 141008, India
Inderpreet Sohi Department of Pediatrics, Christian Medical College, Ludhiana, Punjab 141008, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20161051

Keywords:

Primary nocturnal enuresis, Alarm intervention, Children

Abstract

Background: Enuresis affects about 15 to 20% of five year old children, and even up to 2% of young adults. The various treatment modalities used are behavioural therapy, alarm intervention and pharmacological therapy. Current evidences suggest that alarm intervention is preferable to other modalities of treatment. So a study was done to assess the efficacy of alarm interventions in primary monosymptomatic nocturnal enuresis in children.

Methods: A prospective study was done on children aged between 5-18 years with primary monosymptomatic nocturnal enuresis on a total of 62 children. An enuresis diary was maintained by parents. All children received alarm intervention for 12 weeks. A child remaining dry for two consecutive weeks was taken as a success. The subjects were followed up for 12 weeks, two or more wet night in 2 weeks period were taken as relapse. If child failed to become dry after 12 weeks of alarm intervention, intervention was continued for maximum of 6 months or till he became dry.

Results: Out of 62 children, majority were males and in the age group of 5-7 years. Family history of enuresis was present in 30.65% of children. A total of 74.19 % of subjects achieved dryness while failures were 25.8% and relapse was seen in 23.91 % during follow up. Significant improvement was noticed as early as 2 months after alarm intervention (p 0.00499) but maximum improvement was seen after 5 months (20 week). On follow up 23.91 % children had relapsed but the frequency of wet nights among these also was significantly low (mean wet nights 0.08/week). Even among failures there was a significant decrease in mean number of wet nights (from 4.24 wet nights/week to 1.85 wet nights/week).

Conclusions: Alarm treatment was an effective intervention for management of primary monosymptomatic nocturnal enuresis with high success and low relapse rate.

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