Study Results of Enuresis Medical Treatment according to When Medication was Started / 대한비뇨기과학회지

ABSTRACT

PURPOSE: There are many medical treatments for enuresis. However, it is not known the effect of enuresis management according to when medication was started in the clinical field. Therefore, this study was conducted to determine the results of treating enuresis according to different starting points of the medication. MATERIALS AND METHODS: During March 2001 to May 2004, 331 patients among the 412 primary monosymptomatic enuresis patients were studied for over 6 months they were treated to a combination of medical treatments and then the reduction of medication dose was taped. Patients less than 5 years old were in group A, the 6-7 years old were in group B, and the patients older than 8 years old were in group C. Successful medication was defined as 14 days of no enuresis without relapse, and failure was defined as 2 or more incidence of enuresis in 2 weeks or loss to follow up after 6 months of treatment. RESULTS: Group A included a total of 105 patients; 81(77.1%) patients experienced successful treatment. Group B included a total of 111 patients, and 86 (77.5%) patients had a successful treatment. Group C included a total of 115 patients, and 79 (68.7%) patients had successful treatment. The mean medication period was 6.5+/-5.2 months for group A, 8.5+/-6.8 months for group B and 10.3+/-9.5 months for group C these results showed statistical significance (p<0.05). CONCLUSIONS: Despite that spontaneous cure does occur, the study results showed that the patients who were medicated earlier had a higher success rate and a shortened medication period. Considering the results of this study, early treatment for enuresis should be suggested.