Nocturnal Enuresis in Children and Intervention Modalities: A Teaching Hospital Experience

Dr. Radha Mohan.M; Dr.Kannaiah.B; Dr.Vishal.A; Dr.Keshavulu.B

Volume : IX, Issue : I, January - 2019

Nocturnal Enuresis in Children and Intervention Modalities: A Teaching Hospital Experience

Dr. Radha Mohan. M, Dr. Kannaiah. B, Dr. Vishal. A, Dr. Keshavulu. B

Abstract :

Nocturnal Enuresis is intermittent incontinence and includes incontinence in discrete episodes while asleep during night. Nocturnal enuresis is not a condition, but a symptom of an underlying condition47. Primary nocturnal enuresis (PNE) is nocturnal wetting in a child who has never been dry on consecutive nights for longer than 6 months49. It is the more common form, occurring in 80% of cases. Secondary enuresis is the reemergence of enuresis after continence has been established for at least 6 months48. Objective: To study the intervention modalities in nocturnal enuresis in children in age group from 6 to 12 year. Materials and Methods: This is an observational study conducted upon 126 children (n=126) suffering from nocturnal enuresis. The age group included was 6 to 12 year. This study was conducted from Aug, 2017 to Nov, 2018 in a Teaching Hospital in Nizamabad, Telangana State. Behavioural therapy and imipramine were given separately and combined treatment was also given. Results: Among 126 (n=126) children 31 (24.6%) children after six weeks of initiation of behavioural therapy achieved dry nights. 26 (20.64%) children were required imipramine. 69 (54.76%) children didn’t improve with imipramine alone and both behavioral therapy as well as imipramine were given. Behavioural therapy had 51.61% (n=16) relapse. Treatment with imipramine had 69.23% (n=18) relapse. Children who were given behaviuoral therapy along with imipramine had 31.88% (n=22) relapse. Conclusion: Nocturnal Enuresis is one of the major problems in children in developing countries like India. Lack of awareness and education programme add up this problem42. There will be a significant increase in the knowledge level on nocturnal enuresis after a structured team approach and educating the family. Positive reinforcement and increased social motivation to be nonenuretic were effective in eliminating nocturnal enuresis. Both behavioral therapy as well as imipramine show better results when combined together rather than given alone.