Posterior Tibial Nerve Stimulation Vs Desmopressin In Children With Primary Monosymptomatic Nocturnal Enuresis
Status:
Recruiting
Trial end date:
2020-12-15
Target enrollment:
Participant gender:
Summary
Nocturnal enuresis is a worldwide health problem frequently encountered in childhood . It
affects 18 % of younger school- age children in Egypt. It is the most frequent (85%) type of
enuresis in children (Eberdt-GoĊabek et al, 2013), . Nocturnal enuresis includes
monosymptomatic nocturnal enuresis with no day time urinary symptoms and non monosymptomatic
nocturnal enuresis that accompanied by day time urinary symptoms . It can cause severe
psychological and social distress to children and their parents . The currently recommended
treatment such as alarms , antidiuretic hormone and anticholenergics are not effective in all
children with significant relapse rate . Although it's mechanism of action is not fully
elucidated , posterior tibial nerve stimulation is safe and acceptable, with evidence of
potential clinical effect for both bladder and bowel dysfunction (Bellette et al, 2009). This
study will investigate the effect of posterior tibial nerve stimulation on primary
monosymptomatic nocturnal enuresis in children.