title: The daytime alarm: a useful device for the treatment of children with daytime incontinence.
abstract: OBJECTIVE
  We present the results of the use of a daytime wetting alarm as treatment for therapy resistant daytime wetting in children with an overactive detrusor.
  
  
  METHODS
  In a retrospective study we reviewed the files of 63 children treated with a daytime alarm because of persistent daytime wetting. Results were considered a complete success when the children were completely dry after treatment, a partial success when there was greater than 50% improvement in daytime wetting and a failure when no change was observed in daytime symptoms.
  
  
  RESULTS
  During a study period of 25 months 63 children were treated with a daytime alarm at the department of pediatric urology. The mean treatment period was 14 days. At a followup of 12 months treatment failed in 20 children (32%), 21 (33%) had partial success and 22 (35%) were successfully treated.
  
  
  CONCLUSIONS
  In children with therapy resistant daytime wetting and an overactive detrusor the daytime alarm may be a useful treatment tool. Complete cure of daytime incontinence can be attained in 35% of patients, almost a third have improvement in their complaints and training fails in a third.
authors.affiliation: Department of Pediatric Urology, Ghent University Hospital, De Pintelaan 185, B-9000 Gent, Belgium. erik.vanlaecke@uzgent.be
authors.forename: E
authors.initials: E
authors.lastname: Van Laecke
authors.forename: S
authors.initials: S
authors.lastname: Wille
authors.forename: J
authors.initials: J
authors.lastname: Vande Walle
authors.forename: A
authors.initials: A
authors.lastname: Raes
authors.forename: C
authors.initials: C
authors.lastname: Renson
authors.forename: F
authors.initials: F
authors.lastname: Peeren
authors.forename: P
authors.initials: P
authors.lastname: Hoebeke
mesh_terms: D000293:Adolescent; D001521:Behavior Therapy / Q000295:instrumentation* / Q000379:methods; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D014549:Urinary Incontinence / Q000628:therapy*