Treatment response of an outpatient training for children with enuresis in a tertiary health care setting.
OBJECTIVE
To evaluate treatment effectiveness for children with enuresis, according to the definitions of the International Children's Continence Society (ICCS, 2006).


METHODS
Children ≥6 years of age followed a 4-month outpatient treatment consisted of a visit during which history regarding enuresis was taken, causes were explained and therapeutic tips & tricks were discussed. All children received a booklet about enuresis and were trained with an alarm and/or pharmacological therapy. At baseline, 4, 10 and 16 months, the number of wet nights during the previous 28 days and the use of medication were assessed. Success of treatment was determined using ICCS definitions of treatment outcome.


RESULTS
66 children with enuresis were included (48 boys/18 girls) in this retrospective study. Mean age: 11(± 2.6) years. 91%(n = 60) of the children had non-monosymptomatic enuresis. Results at 4 months: 46% full, 15% good, 21% partial response (n = 66). At 10 months: 55% full, 4% good, 29% partial response (n = 49). At 16 months: 53% full, 6% good, 25% partial response (n = 34). Overall, use of pharmacological therapy showed a decline in time.


CONCLUSIONS
According to the ICCS definitions, outpatient treatment for enuresis shows a good overall treatment response, and these results can be used to compare with other studies in the future.
Department of Pediatric Urology, Radboud University Nijmegen Children's Hospital, PO Box 9101, 6500 HB Nijmegen, The Netherlands. J.Cobussen-Boekhorst@uro.umcn.nl
Hanny J G L
HJ
Cobussen-Boekhorst
Lucie J
LJ
van Genugten
Judith
J
Postma
Wouter F J
WF
Feitz
Barbara B M
BB
Kortmann
D000293:Adolescent; D050034:Antidiuretic Agents / Q000627:therapeutic use; D002648:Child; D056902:Clinical Alarms; D003894:Deamino Arginine Vasopressin / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D008297:Male; D053206:Nocturnal Enuresis / Q000188:drug therapy* / Q000628:therapy*; D010045:Outpatients; D010174:Pamphlets; D010353:Patient Education as Topic / Q000379:methods*; D012189:Retrospective Studies; D062606:Tertiary Care Centers; D016896:Treatment Outcome; D055815:Young Adult
D050034:Antidiuretic Agents; D003894:Deamino Arginine Vasopressin