Office Management of Pediatric Primary Nocturnal Enuresis: A Comparison of Physician Advised and Parent Chosen Alternative Treatment Outcomes

Dawn Diaz Saldano*, Antonio H. Chaviano, Max Maizels, Elizabeth B. Yerkes, Earl Y. Cheng, Jennifer Losavio, Sima P. Porten, Christine Sullivan, Kerry F. Zebold, Jennifer Hagerty, William E. Kaplan

*Corresponding author for this work

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Purpose: We compared the remission of pediatric primary nocturnal enuresis in groups of children who used a physician advised practice plan vs a parent chosen alternative. Materials and Methods: Between January 2004 and January 2006 there were 119 patients with primary nocturnal enuresis enrolled in this prospective, nonrandomized study. For this study primary nocturnal enuresis was defined as wetting at night during sleep during any 6-month interval without any known causative problem. A total of 76 children received the physician advised treatment plan and used an alarm, oxybutynin, desmopressin, an elimination diet and a bowel program, as indicated. A total of 43 children received a parent chosen alternative treatment plan, which consisted of any single or combination of treatments involving an alarm, oxybutynin, desmopressin and an elimination diet or bowel program. Parents from each group completed an intake survey that measured functional bladder capacity using a 3-day home diary and they identified demographic variables. Followup occurred at 2 weeks and then monthly for 12 weeks to study end. Results: We found that the probability of remission by the end of the study for the physician advised treatment group was significantly higher than that of the parent choice group (88% vs 29%, Kaplan-Meier curve p <0.0001). Conclusions: The group of children who followed physician advised treatment for primary nocturnal enuresis showed significantly earlier remission of primary nocturnal enuresis than children who followed the parent choice treatment (25th percentile 2 vs 10 weeks).

Original languageEnglish (US)
Pages (from-to)1758-1762
Number of pages5
JournalJournal of Urology
Volume178
Issue number4 SUPPLEMENT
DOIs
StatePublished - Oct 2007

Keywords

  • bladder
  • deamino arginine vasopressin
  • nocturnal enuresis
  • parents
  • questionnaires

ASJC Scopus subject areas

  • Urology

Fingerprint Dive into the research topics of 'Office Management of Pediatric Primary Nocturnal Enuresis: A Comparison of Physician Advised and Parent Chosen Alternative Treatment Outcomes'. Together they form a unique fingerprint.

  • Cite this

    Diaz Saldano, D., Chaviano, A. H., Maizels, M., Yerkes, E. B., Cheng, E. Y., Losavio, J., Porten, S. P., Sullivan, C., Zebold, K. F., Hagerty, J., & Kaplan, W. E. (2007). Office Management of Pediatric Primary Nocturnal Enuresis: A Comparison of Physician Advised and Parent Chosen Alternative Treatment Outcomes. Journal of Urology, 178(4 SUPPLEMENT), 1758-1762. https://doi.org/10.1016/j.juro.2007.03.195