J Korean Med Assoc.  2017 Oct;60(10):792-795. 10.5124/jkma.2017.60.10.792.

Behavioral therapy for enuresis

Affiliations
  • 1Department of Urology, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea. drpedurology@gmail.com

Abstract

Behavioral therapy refers to a broad range of treatment modalities that regulate the child's behavior to induce a therapeutic effect on nocturnal enuresis. Simple behavioral therapies include fluid restriction, lifting, waking, introducing reward systems, and bladder training. Simple behavioral therapy is significantly less effective than an enuresis alarm or desmopressin. If a child needs treatment, an enuresis alarm or desmopressin should not be delayed. Enuresis alarms are an effective form of treatment, although they require active involvement of the health care provider to reduce the likelihood of dropout and to motivate the child and parents.

Keyword

Enuresis; Behavior therapy; Enuresis alarm; Urotherapy

MeSH Terms

Behavior Therapy
Child
Deamino Arginine Vasopressin
Enuresis*
Health Personnel
Humans
Lifting
Nocturnal Enuresis
Parents
Reward
Urinary Bladder
Deamino Arginine Vasopressin

Cited by  1 articles

Current management scheme of nocturnal enuresis
Kwanjin Park
J Korean Med Assoc. 2017;60(10):790-791.    doi: 10.5124/jkma.2017.60.10.790.


Reference

1. Sorotzkin B. Nocturnal enuresis: current perspectives. Clin Psychol Rev. 1984; 4:293–315.
Article
2. Butler RJ, Redfern EJ, Holland P. Children's notions about enuresis and the implications for treatment. Scand J Urol Nephrol Suppl. 1994; 163:39–47.
3. Van Hoeck KJ, Bael A, Van Dessel E, Van Renthergem D, Bernaerts K, Vandermaelen V, Lax H, Hirche H, van Gool JD. Do holding exercises or antimuscarinics increase maximum voided volume in monosymptomatic nocturnal enuresis? A randomized controlled trial in children. J Urol. 2007; 178:2132–2136.
Article
4. Moffatt ME. Nocturnal enuresis: a review of the efficacy of treatments and practical advice for clinicians. J Dev Behav Pediatr. 1997; 18:49–56.
Article
5. Mowrer OH, Mowrer WM. Enuresis: a method for its study and treatment. Am J Orthopsychiatry. 1938; 8:436–459.
6. Smith T. Field report: making toilet training easier-a novel enuresis alarm system. Behav Anal Pract. 2014; 7:31–32.
Article
7. Forsythe WI, Butler RJ. Fifty years of enuretic alarms. Arch Dis Child. 1989; 64:879–885.
Article
8. Butler RJ, Holland P, Gasson S, Norfolk S, Houghton L, Penney M. Exploring potential mechanisms in alarm treatment for primary nocturnal enuresis. Scand J Urol Nephrol. 2007; 41:407–413.
Article
9. Oredsson AF, Jorgensen TM. Changes in nocturnal bladder capacity during treatment with the bell and pad for monosymptomatic nocturnal enuresis. J Urol. 1998; 160:166–169.
Article
10. Hyuga T, Nakamura S, Kawai S, Nakai H. Evaluation of the effectiveness of a short-term treatment and repeat treatment of nocturnal enuresis using an enuresis alarm. Urology. 2017; 105:153–156.
Article
11. Mellon MW, McGrath ML. Empirically supported treatments in pediatric psychology: nocturnal enuresis. J Pediatr Psychol. 2000; 25:193–214.
Article
12. Brown ML, Pope AW, Brown EJ. Treatment of primary nocturnal enuresis in children: a review. Child Care Health Dev. 2011; 37:153–160.
Article
13. Onol FF, Guzel R, Tahra A, Kaya C, Boylu U. Comparison of long-term efficacy of desmopressin lyophilisate and enuretic alarm for monosymptomatic enuresis and assessment of predictive factors for success: a randomized prospective trial. J Urol. 2015; 193:655–661.
Article
14. Butler RJ, Gasson SL. Enuresis alarm treatment. Scand J Urol Nephrol. 2005; 39:349–357.
Article
15. Woo SH, Park KH. Enuresis alarm treatment as a second line to pharmacotherapy in children with monosymptomatic nocturnal enuresis. J Urol. 2004; 171(6 Pt 2):2615–2617.
Article
16. Shiroyanagi Y, Kim W, Suzuki H, Yamazaki Y. Winter is associated with failure in the alarm treatment of nocturnal enuresis. J Pediatr Urol. 2014; 10:246–249.
Article
17. Taylor PD, Turner RK. A clinical trial of continuous, intermittent and overlearning ‘bell and pad’ treatments for nocturnal enuresis. Behav Res Ther. 1975; 13:281–293.
Article
18. Young GC, Morgan RT. Overlearning in the conditioning treatment of enuresis. Behav Res Ther. 1972; 10:147–151.
Article
19. Caldwell PH, Sureshkumar P, Kerr MI, Hamilton S, Teixeira-Pinto A, Macaskill P, Craig JC. A randomised controlled trial of a code-word enuresis alarm. Arch Dis Child. 2016; 101:326–331.
Article
20. Kim WB, Kim KD. The epidemiology of childhood enuresis in Seoul and Kyunggi province. Korean J Urol. 1998; 39:1166–1170.
21. Jang WS, Cho JS, Kim JM, Hong CH. Application and treatment result of an enuresis alarm based on a questionnaire in children with enuresis? Korean J Urol. 2008; 49:745–752.
Article
22. Caldwell PH, Nankivell G, Sureshkumar P. Simple behavioural interventions for nocturnal enuresis in children. Cochrane Database Syst Rev. 2013; (7):CD003637.
Article
23. Cederblad M, Sarkadi A, Engvall G, Neveus T. No effect of basic bladder advice in enuresis: a randomized controlled trial. J Pediatr Urol. 2015; 11:153.e1–153.e5.
Article
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