Commentary to: No effect of basic bladder advice in enuresis – A randomized controlled trial

Abstract

The authors of this study are to be congratulated on their efforts of trying to prove the value of the concept of simple bladder training advice (BBA) for treating treatment-naïve nocturnal enuresis (NE). Their goal was to find out if previous BBA (e.g. provided in primary care settings) could be used as standalone therapy or to ameliorate the outcomes of bed-wetting alarm treatment. Their conclusion was negative for both hypotheses. No effect of basic bladder advice in enuresis: A randomized controlled trialJournal of Pediatric UrologyVol. 11Issue 3PreviewThere are two firstline, evidence-based treatments available for nocturnal enuresis: desmopressin and the enuresis alarm. Prior to use of these therapies, international experts usually recommend that the children also be given basic bladder training during the daytime. The rationale behind this recommendation is that daytime bladder training or urotherapy, is a mainstay in the treatment of daytime incontinence caused by detrusor overactivity. Still, there is, as yet, no firm evidence that daytime bladder training is useful against nocturnal enuresis. Full-Text PDF