NOCTURNAL ENURESIS - CHANGE OF NOCTURNAL VOIDING PATTERN DURING ALARMTREATMENT

In a prospective clinical study of the outcome of alarm treatment in n octurnal enuretics, 60 children were included: 40 boys and 20 girls, m ean age 8.2 years (range 5.1-14.4). All were treated with enuresis ala rms and had 2 or more enuretic events during the initial 14 days of tr eatment. None had diurnal enuresis. In each child, the enuretic and vo luntary voiding frequencies during the initial 14 and last 14 days of treatment were compared. We found that 43 children had a 75% reduction or more of the enuretic events. 28 children substituted the former en uretic events by sleep, 15 changed the enuresis by voluntary voidings. Only 17 children had no effect of the alarm treatment. No parameters were found to predict the outcome. In conclusion, the outcome of succe ssful alarm treatment occurs in two distinct forms. Either the child i s left asleep without wetting his bed; or the child wakes up spontaneo usly from sleep and goes to the bathroom.