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Vogt, M; Lehnert, T; Till, H; Rolle, U; .
Evaluation of different modes of combined therapy in children with monosymptomatic nocturnal enuresis.
BJU Int. 2010; 105(10):1456-1459
Doi: 10.1111/j.1464-410X.2009.08872.x
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- Co-Autor*innen der Med Uni Graz
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Till Holger
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- Abstract:
- OBJECTIVE
To evaluate the efficacy of different modes of combined therapy in children with monosymptomatic nocturnal enuresis (MNE).
PATIENTS AND METHODS
A randomized prospective study was performed to compare the order of two types of combined therapy in children with MNE. Group A was treated with primary desmopressin treatment that was combined with alarm treatment after 3 months, while group B was treated with primary alarm treatment that was combined with desmopressin after 3 months.
RESULTS
Within a period of 18 months, 43 previously untreated children fulfilled the inclusion criteria. Thirteen children achieved dryness after initial monotherapy or discontinued the study. Group A consisted of 16 children and group B of 14 children. After the standardized treatment course of 6 months, 11/16 children in group A and 11/14 children in group B became dry (ANDlt; 3 wet nights/month). Altogether, 22/30 (73%) children were dry after combined treatment, consisting of 12/18 boys and 10/12 girls. Of the children with a normal maximum voided volume, 79% (19/24) achieved dryness, whereas only three of six children with small maximum voided volumes became dry. In all, 13/19 (68%) children with nocturnal polyuria and nine of 11 without nocturnal polyuria became dry. Only one child relapsed (group A).
CONCLUSIONS
Combined therapy proved effective in children with MNE after 6 months, with no statistically significant differences between the two different orders of treatment.
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Adolescent -
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Antidiuretic Agents - therapeutic use
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Behavior Therapy - methods
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Child -
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Child, Preschool -
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Combined Modality Therapy -
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Deamino Arginine Vasopressin - therapeutic use
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Female -
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Humans -
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Male -
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Nocturnal Enuresis - therapy
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Prospective Studies -
- Find related publications in this database (Keywords)
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enuresis
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alarm therapy
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desmopressin
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combined therapy