title: Nocturnal enuresis in children between laser acupuncture and medical treatment: a comparative study.
abstract: Nocturnal enuresis (NE) is intermittent involuntary voiding during sleep in a child aged 5 years or more. The study was conducted to compare the effect of using laser acupuncture and medication for the treatment of children with nocturnal enuresis (NE) and evaluation of urodynamic parameter after treatment. A randomized study included 45 children ranged from 5 to 15 years presenting with NE. They were randomized into three equal groups-group A, managed with desmopressin acetate; group B, managed with laser acupuncture; and group C, managed with a combination of laser acupuncture and desmopressin-all groups received behavioral therapy. The children were evaluated before and after 3 months of the study to record the efficacy of therapy, side effects and bladder capacity, and 3 months of follow-up after cessation of treatment by bladder diary. A statistically significant higher cure rate was reported in group B patients (73.3 %), while in groups A and C, improvement was reported in 20.0 and 13.3 %, respectively (p value = 0.002). Laser acupuncture is noninvasive, painless tool, with no side effects and lower recurrence rate which can be considered as an alternative therapy for patients with NE.
authors.affiliation: National Institute of Laser Enhanced Sciences, Cairo University, Cairo, Egypt. broncojena@gmail.com.
authors.forename: Jehan
authors.initials: J
authors.lastname: Alsharnoubi
authors.affiliation: Faculty of Physical therapy, Badr University, Cairo, Egypt.
authors.forename: Adly A
authors.initials: AA
authors.lastname: Sabbour
authors.affiliation: Abu ELRish Hospital, Cairo University, Cairo, Egypt.
authors.forename: Ahmed I
authors.initials: AI
authors.lastname: Shoukry
authors.affiliation: Ministry Of Health, Cairo, Egypt.
authors.forename: Amany M
authors.initials: AM
authors.lastname: Abdelazeem
mesh_terms: D015670:Acupuncture Therapy; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003894:Deamino Arginine Vasopressin / Q000494:pharmacology / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007834:Lasers; D008297:Male; D053206:Nocturnal Enuresis / Q000188:drug therapy / Q000628:therapy*; D012008:Recurrence; D001743:Urinary Bladder / Q000187:drug effects / Q000503:physiopathology
chemical_list: D003894:Deamino Arginine Vasopressin
keywords: Desmopressin; Laser acupuncture; Nocturnal enuresis