eMJA: In Other Journals, 19 October 2009

Bell and pad alarm therapy appears to be an effective treatment for nocturnal enuresis in children, according to Australian researchers. Designed to condition the child to recognise a full bladder, the alarm sounds when the sleeping child releases urine onto a pad. A questionnaire was sent to 240 affected children and their parents, and results showed that the initial response rate to bell and pad therapy was 84%, with a relapse rate of 30%. Better outcomes were associated with female sex, shorter duration of treatment, the child’s willingness to use therapy, and a lack of diurnal symptoms. The success rate of repeat therapy was high (78%) and the average length of repeat treatment was 10 weeks. The authors comment that their findings may help clinicians identify children who may need different approaches to treatment.

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