درمان شب ادراري با استفاده از دسگاه شب زنگ

MANAGEMENT OF NOCTURNAL ENURESIS USING ALARM DEVICE

There are various methods of treatment for primary nocturnal enuresis. The conditioning therapy by enuresis-Alarm is the most effective therapy for primary nocturnal enuresis. There are, however , a few studies in our society about its effect and side effects. In this study, sixty children with primary nocturnal enuresis were included in a randomly controlled trial. All had light sleep and no organic disease according to history and physical examination . The children were allocated to two match groups. In the first group, 30 children, each used enuresis-Alarm and in the second group 30 children were considered as control without any treatment. After a short period (1-2 Week), 4 children (belonging to the first group) refused to take the treatment by enuresis-Alarm (13.3%). All of them were under 10 yr of age. 26 children used enuresis-Alarm for 2-3 months. At the end of the treatment , 23 children developed improvement (Complete and relative) but in the control group, 4 children developed spontaneous improvement (P ~ 0). In the first group , 13 children had complete improvement (50%) and 10 children had relative improvement (38.5%), However, in the second group I child had spontaneously complete improvement (3.3%) and 3 children had relative improvement (10%). Two months after cessation of treatment, 3 children from the first group developed relapse (11.5%). One of them responded quickly to a second course of alarm-training. There was not any relapse in the control group. The main problem in this method of treatment was the breakdown of the enuresis-Alarm.