Intensive behavioral therapy for primary enuresis.
OBJECTIVE
To assess the effect of intensive behavioral therapy on Saudi children with primary enuresis.


METHODS
Twenty-six children, aged 6-14-years, presented with complains of bed wetting during a 12-months period from January 2001 through to January 2002, ArAr Central Hospital, Kingdom of Saudi Arabia were studied in an interventional, non-randomized trial without control. After complete verbal autopsy, physical examination and laboratory investigation, they were offered intensive behavioral therapy. They were evaluated for response, regularity, esteem and recurrence of enuresis.


RESULTS
Mean age of the study group was 9.6-years (SD = +/- 2.6) and boys were affected almost twice of girls (P<0.05). Family history, social history and school performance did not show any significant (P>0.05) association with enuresis. Sixty point five percent were regular and out of those 27.9% never missed any visits. 91.7% were completely dry out of regular patients. There was 75% success rate in those, who visited 4-8 times while 25% in those, who visited 1-3 times. Ninety-six percent of the parents and 80.7% of the children were fully satisfied with this therapy. Socio-economic status seems to play a significant (P<0.05) role in regularity of follow up and response to behavioral therapy.


CONCLUSIONS
This result shows an excellent response to intensive behavioral therapy in primary enuresis if the follow up is regular.
Al-Harbi
Saleh M
SM
Department of Pediatrics, King Fahad Medical City Pediatric Hospital, PO Box 103249, Riyadh 11695, Kingdom of Saudi Arabia. sssnm3@hotmail.com
Needlman
Robert D
RD
Khan
Abdul S
AS
Patni
Tarun
T
D000293:Adolescent; D001521:Behavior Therapy / Q000379:methods*; D002648:Child; D004775:Enuresis / Q000523:psychology / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D012008:Recurrence; D012529:Saudi Arabia; D012649:Self Concept; D014039:Toilet Training; D016896:Treatment Outcome