Bladder Basic Advice decreases wet nights

Tkaczyk, Maternik, Krakowska, Wosiak, Miklaszewska, Zachwieja, Runowski, Jander, Ratajczak, Korzeniecka-Kozyrska, Mader-Wolyriska, and Kilis-Pstrusinska (2017) wanted to evaluate the treatment rate of basic bladder advice after 3 months.  They evaluated 49 bedwetters and assessed them at 30, 60, and 90 days.  The intervention was bladder basic advice which included, information on what causes bedwetting, proper volume and timing of fluid administration during the day, avoiding milk products in the evening, and proper voiding posture/timing.  The patients were also required to complete diaries which is an intervention in itself. They found that after 3 months the mean number of wet nights decreased from ~9 wet nights per 2 weeks down to ~6 wet nights. It was fully successful after 90 days in 18% of the patients. This is more than the general resolution rate of 15%.

My Opinion: I like to utilize every non-pharmacological option that has scientific evidence of improvement.  The goal is to optimize their bladder and hydration then start the bedwetting alarm.  In my experience, this has had the most positive results for my patients. 

Tkaczyk, Marcin, et al. “Evaluation of the Effect of 3-Month Bladder Basic Advice in Children with Monosymptomatic Nocturnal Enuresis.” Journal of Pediatric Urology, vol. 13, no. 6, 2017, doi:10.1016/j.jpurol.2017.03.039.

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