RT Journal Article
SR Electronic
T1 New treatment protocol for primary nocturnal enuresis in children according to ultrasound bladder measurements
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 1475
OP 1479
VO 29
IS 10
A1 Azhir, Afshin
A1 Gheissari, Alaleh
A1 Fragzadegan, Ziba
A1 Adebi, Atosa
YR 2008
UL http://smj.org.sa/content/29/10/1475.abstract
AB OBJECTIVE: To evaluate the response rate of various modalities of therapy in primary nocturnal enuretic children according to the ultrasound bladder volume and wall thickness index (BVWI) measurements.METHODS: From February 2006 to November 2007, a total of 31 children, aged 6-12 years old were enrolled in a clinical trial. Based on BVWI they were divided into 3 groups as follows: Group 1 (BVWI <70%) was treated with oral desmopressin and oxybutynin; Group 2 (BVWI 70% to <130%) was treated with oral desmopressin. Group 3 (BVWI >130%) was treated with oral desmopressin accompanied by double-voiding technique and scheduled voiding. All of them were treated for 3 months.RESULTS: Significant reductions in mean bed-wetting frequency before and after first treatment cycle were observed in all groups (p<0.05). The complete response rate was 70% in Group 1, 25% in Group 2, and 20% in Group 3. Overall, the complete and partial response rate was 9/10 (90%) children in Group 1, 13/16 (81%) in Group 2, and 3/5 (60%) in Group 3. Bedwetting frequency significantly decreased at the first and second treatment cycles in Group 2 (p<0.05) for each pair wise comparison.CONCLUSION: The proposed treatment representation according to ultrasound BVWI measurements achieves favorable response rates in children with PNE. We suggest that this treatment should be used to develop the management of enuresis in children.