Family compliance with the use of alarm devices in the treatment of monosymptomatic nocturnal enuresis

Conclusion: Although EAD has been the priorly recommended alternative with its relatively higher suc- cess, and lower recurrence rates, our study demonstrated that the compliance of families with this treatment is below the expected level.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: In the treatment of monosymptomatic nocturnal enuresis (MNE), enuretic alarm devices (EADs) are the frst recommended treatment option.

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Key Findings & Data:The mean age of the patients was 10.4 years (5-16).

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Conclusion & Impact:Conclusion: Although EAD has been the priorly recommended alternative with its relatively higher suc- cess, and lower recurrence rates, our study demonstrated that the compliance of families with this treatment is below the expected level.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

Objective: In the treatment of monosymptomatic nocturnal enuresis (MNE), enuretic alarm devices (EADs) are the frst recommended treatment option. This study aimed to evaluate parental and child compliance with EAD treatment. Material and methods: Fifty patients for whom EAD therapy was recommended were included in this study. The mean age of the patients was 10.4 years (5-16). All the patients were nursery or school children. Patients who did not return for their follow-up visits were called by phone, and verbal information were gathered about the use and performance success of the device. We documented the patients who used, and did not use the EAD with their reasons. Results: Nineteen (36%) patients were able to use the EAD without any problems. Eight of the remaining 31 patients didnt return for control, and they could not be get in touch with, either. Of the 23 (46%) fami- lies whom we could get a contact, 4 families did not purchase EAD due to a decrease in the number of wet nights, 4 families due to compensatory payment,and 3 families due to reluctance of one of the parents. One family reported that they gave up the EAD treatment because of the disturbing loud volume of the device. Four families reported that their children refused to use the EAD. Four families said that they could not use the EAD regularly because the device frequently did not work properly. In this study, we could not keep in touch with 16% of the patients, and 46% of the patients stopped using or did not receive this therapy. Conclusion: Although EAD has been the priorly recommended alternative with its relatively higher suc- cess, and lower recurrence rates, our study demonstrated that the compliance of families with this treatment is below the expected level.

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Cite This Article

OĞUZ, U., SARIKAYA, S., ÖZYUVALI, E., ŞENOCAK, Ç., HALİS, F., ÇİFTÇİ, M., YILDIRIM, Y. E., BOZKURT, Ö. F. (2014). Family compliance with the use of alarm devices in the treatment of monosymptomatic nocturnal enuresis. Türk Üroloji Dergisi/Turkish Journal of Urology, Cilt: 40 - Sayı: 1, 52–55. https://ajindex.com/articles/327977

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References (7)

Tekgül S, Riedmiller H, Dogan HS, Hoebeke P, Kocvara R, Nijman R, et al. Monosymptomatic Enuresis. EAU Pediatrik Urology Guidelines 2013.p.47-9
Tuncel A, Mavituna I, Nalcacioglu V, Tekdogan U, Uzun B, Atan A. Long-term follow-up of enuretic alarm treatment in enuresis nocturna. Scand J Urol Nephrol 2008;42:449-54. [CrossRef] 3. Penbegül N, Çelik H, Palancı Y, Yıldırım K, Atar M, Hatipoğlu NK, et al. Prevalence of enuresis nocturna in a group of school children in the city of Diyarbakır. Turkish Journal of Urology 2013;39:101-5. [CrossRef] 4. Gümüş B, Vurgun N, Lekili M, Işcan A, Müezzinoğlu T, Büyuksu C. Prevalence of nocturnal enuresis and accompanying factors in children aged 7-11 years in Turkey Acta Paediatr 1999;88:1369-72
Görür S, İnandı T, Turhan E, Helli A, Kiper AK. The incidence, and risk factors of enuresis nocturna in children aged 6-18 in Hatay. Turkish Journal of Urology 2008;34:42-50
Ozden C, Ozdal OL, Altinova S, Oguzulgen I, Urgancioglu G, Memis A. Prevalence and associated factors of enuresis in Turkish children. Int Braz J Urol 2007;33:216-22. [CrossRef] 7. Koff SA, Jayanthi VR, Turkish translation by Kuyumcuoğlu U, Faydacı G. Non-neurogenic lower urinary system dysfunction. Campbells Urology 2005.p.2261-83
Evans J, Malmsten B, Maddocks A, Popli HS, Lottmann H; UK study group. Randomized comparison of long-term desmopressin and alarm treatment for bedwetting. J Pediatr Urol 2011;7:21-9. [CrossRef] 9. Schlomer B, Rodriguez E, Weiss D, Copp H. Parental beliefs about nocturnal enuresis causes, treatments, and the need to seek professional medical care. J Pediatr Urol 2013. pii: S1477- 5131(13)00060-0
Glazener CM, Evans JH, Peto RE. Alarm interventions for nocturnal enuresis in children. Cochrane Database Syst Rev 2005:CD002911
Evans J, Malmsten B, Maddocks A, Popli HS, Lottmann H; UK study group. Randomized comparison of long-term des- mopressin and alarm treatment for bedwetting. J Pediatr Urol 2011;7:21-9. [CrossRef] 12. Vandersteen DR, Husmann DA. Treatment of primary nocturnal enuresis persisting into adulthood. J Urol 1999;161:90-2. [CrossRef] 13. Nappo S, Del Gado R, Chiozza ML, Biraghi M, Ferrara P, Caione P. Nocturnal enuresis in the adolescent: a neglected problem. BJU Int 2002;90:912-7. [CrossRef]