Enuresis Alarm - Is a Manual Trigger System Beneficial?

Nocturnal enuresis is a common issue in children, and use of bedwetting alarms has shown the
best long-term success. However, use of alarms is very time-intensive, often taking months
before yielding results. Researchers in the division of pediatric urology are initiating a
randomized controlled study comparing a standard bedwetting alarm with a newly developed
technology, with the hope that the new alarm will result in better, more rapid, and easier
treatment for bedwetting.

Children between the ages of 5 to 15 years old who have issues with bedwetting after
successful toilet training may qualify for the study.

Participants must first be evaluated by a pediatric urology specialist.

Inclusion Criteria:

- children ages 5-15 years

- Diagnosis of Primary Monosymptomatic Nocturnal Enuresis

- >2 wet nights per week

- Score of 7 or below on questions 1-6 and 9-13 on Vancouver Dysfunctional Elimination
Questionnaire

- Patients/parents compliance in recording data > 50% of nights

Exclusion Criteria:

- Known comorbid conditions: daytime incontinence, anatomic abnormalities
(hydronephrosis, VUR), recurrent urinary tract infection, dysuria, neurogenic bladder,
developmental delay, encopresis, diabetes insipidus, previous history of urologic
surgery

- Concomitant DDAVP use, anticholinergic use, B3 agonist use