We've curated a database of terms and conditions related to pediatric
urology to help everyone learn more about the field.
Conditioning with the enuresis alarm
Here's everything you need to know about the enuresis alarm and how to master this treatment method.
The enuresis alarm is a device which gives a strong arousal stimulus, usually acoustic, to the child and family at the moment when urine activates a detector located in the child’s bed or on their clothing.
Effective in 40-60% of the children, but relapse may be an issue. Motivation is important while keeping in mind this is usually difficult for children younger than 6-7 years.
This is a safe and non-invasive treatment method.
Advice for using the enuresis alarm
The alarm should only be used by well-motivated, well-informed families.
The device should be thoroughly demonstrated for both the child and their parents.
The alarm needs to be used continuously, every night, without interruption.
The parents need to be prepared to wake the child immediately when the signal is heard, since very often, during the first weeks of treatment, the signal alone might not be effective in waking them up.
The healthcare provider should contact the family after 1-3 weeks to give encouragement and solve technical problems during this crucial period.
If there is no sign of progress after 6 weeks, therapy should be stopped.
If there is progress (smaller wet spots, occasional dry nights) then therapy should be continued until 14 consecutive dry nights have been achieved.
Past failed attempts should not preclude reintroduction of the enuresis alarm. Especially if general advice was not followed or if more than 2 years have passed since the last attempt.