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Medline ® Abstract for Reference 47

of 'Nocturnal enuresis in children: Management'

The short- and long-term effects of simple behavioral interventions for nocturnal enuresis in young children: a randomized controlled trial.
van Dommelen P, Kamphuis M, van Leerdam FJ, de Wilde JA, Rijpstra A, Campagne AE, Verkerk PH
J Pediatr. 2009;154(5):662. Epub 2009 Jan 23.
OBJECTIVE: To assess the short- and long-term effects of 3 simple behavioral interventions to overcome nocturnal enuresis in young children.
STUDY DESIGN: We performed a randomized controlled trial in children aged four to five years with mono-symptomatic nocturnal enuresis (n = 570). The children were placed in one of four groups: (1) lifting to urinate and ask for a password; (2) the same as group 1, without a password; (3) using a reward system; or (4) a control group. Each participant was asked to carry out the appointed intervention for 6 months or until 14 consecutive dry nights occurred, which was the continence criterion. A follow-up was performed approximately 3 years after the study.
RESULTS: After 6 months, lifting the child to the toilet without the use of a password was the only intervention that resulted in significantly more dry children (37%) than the control group (21%). Three years later, both lifting groups had the highest (78%) and the control group the lowest (69%) percentage of dry children.
CONCLUSIONS: The intervention lifting to urinate without the use of a password leads to more dry children compared with no active treatment in children aged 4 to 5 years with nocturnal enuresis.
TNO Quality of Life, Department of Statistics, Leiden, The Netherlands. Paula.vanDommelen@tno.nl