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Jang, Cho, Kim, and Hong: Application and Treatment Result of an Enuresis Alarm Based on a Questionnaire in Children with Enuresis
Original Article
Korean Journal of Urology

Korean Journal of Urology 2008; 49(8): 745-752.

Published online: 31 August 2008

DOI: https://doi.org/10.4111/kju.2008.49.8.745

Application and Treatment Result of an Enuresis Alarm Based on a Questionnaire in Children with Enuresis

Won Seok Jang, Jin Seon Cho, Jun Mo Kim1, Chang Hee Hong2

Department of Urology, Hallym University College of Medicine, Chuncheon, Korea.

1Department of Urology, Soonchunhyang University Hospital, College of Medicine, Soonchunhyang University, Bucheon, Korea.

2Department of Urology, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.

chhong52@yuhs.ac

Received 11 February 2008       Accepted 30 June 2008

Copyright © 2008 The Korean Urological Association

Abstract

Purpose

Alarm interventions are effective and safe treatments for nocturnal enuresis when compared with the other treatments. However, the rate of doctors prescribing enuresis alarms is quite low in Korea. This study evaluated the application conditions and treatment results of an enuresis alarm in children with enuresis in Korea.

Materials and Methods

147 out of 316 patients who purchased an enuresis alarm through a alarm sales agency in Korea were evaluated retrospectively. The questionnaire had two main categories: items of enuresis (number of episodes during the night, enuresis frequency during a week, etc.) and the items of the enuresis alarm (previous treatment history, a motivation of using enuresis alarm treatment, the period of using the enuresis alarm, initial success, continued success, dropout of using enuresis alarm, nocturia after treatment, etc.).

Results

A total 147 children participated in this study. The initial success rate was 30.6% whereas the continued success rate was 34.0%. In addition, the dropout rate was 27.2%. 46.2% of patients purchased the enuresis alarm with a doctor's prescription and 53.8% purchased the alarm without a prescription. Among the factors, the success and dropout rate were affected by only whether the patient visited the hospital. Thirty five patients who took combination therapy with medicine had a significantly lower initial success rate.

Conclusions

In Korea, without a doctor's prescription, 53.7% patients attempt to treat enuresis alarm directly. The initial and continued success rate with the enuresis alarm was approximately 30% and the dropout rate was approximately 30%.

Keywords: Enuresis, Alarm, Treatment

Figures and Tables

Fig. 1
The reason why the guardian purchased an enuresis alarm. NR: no response, R: recurrence, S/E: side effect.
kju-49-745-g001
Table 1
Patients' characteristics and treatment results
kju-49-745-i001

MNE: monosymptomatic nocturnal enuresis, Non-MNE: non-monosymptomatic nocturnal enuresis, *: p<0.05, chi-square test

Table 2
Comparison of the possible predictive factors between the two groups
kju-49-745-i002

Non-MNE: non-monosymptomatic nocturnal enuresis, *: p<0.05

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