Efficacy & safety of Desmopressin in the treatment of pediatric nocturnal enuresis

Back ground: primary nocturnal enuresis (PNE) is a socially distressing condition that can be troubling for children & their families. It affects 15-26% of five years olds. Several approaches are used to treat PNE including behavioral modification, alarms & drug therapy. Aim of the study: t...

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Main Author: Ala’a Al-Deen
Format: Article
Language:English
Published: University of Baghdad/ Al-Kindy College of Medicine 2014-01-01
Series:مجله كليه طب الكندي
Subjects:
Online Access:https://jkmc.uobaghdad.edu.iq/index.php/MEDICAL/article/view/503
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author Ala’a Al-Deen
author_facet Ala’a Al-Deen
author_sort Ala’a Al-Deen
collection DOAJ
description Back ground: primary nocturnal enuresis (PNE) is a socially distressing condition that can be troubling for children & their families. It affects 15-26% of five years olds. Several approaches are used to treat PNE including behavioral modification, alarms & drug therapy. Aim of the study: to determine the efficacy and safety of nasal desmopressin treatment in children with PNEPatients : fifty-four children with primary nocturnal enuresis with a mean age of ( 8.2) years ( range 6-15), underwent a 2 week observation period followed by entrance into a randomized controlled study, comparing desmopressin & placebo, lasting 4 weeks. The efficacy of the drug was measured in reduction of the number of wet nights per week. The enuretic status of the children was documented for 4 weeks after the treatment was stopped.Results: a significant reduction was found in the mean wet nights per week in the desmopressin group (p=0.001) as compared to placebo group (p = 0.83), from 4.3 wet nights during pretreatment to 0.6 & from 4.6 to 4.4 respectively, however this effect was not sustained after treatment was finished as only five children (18.5%) in the drug-treated group remained dry compared with one child (3.7%) in the placebo group. Side effects associated with the nasal adminstration of desmopressin were mild & infrequent.Conclusion: desmopressin has a clinically significant & safe effect on children with primary nocturnal enuresis
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spelling doaj.art-027c5d5b51224ea88a5b1af9d370ae752022-12-22T04:25:30ZengUniversity of Baghdad/ Al-Kindy College of Medicineمجله كليه طب الكندي1810-95432521-43652014-01-01101Efficacy & safety of Desmopressin in the treatment of pediatric nocturnal enuresisAla’a Al-Deen0AL-mustansiriya university college of medicine Back ground: primary nocturnal enuresis (PNE) is a socially distressing condition that can be troubling for children & their families. It affects 15-26% of five years olds. Several approaches are used to treat PNE including behavioral modification, alarms & drug therapy. Aim of the study: to determine the efficacy and safety of nasal desmopressin treatment in children with PNEPatients : fifty-four children with primary nocturnal enuresis with a mean age of ( 8.2) years ( range 6-15), underwent a 2 week observation period followed by entrance into a randomized controlled study, comparing desmopressin & placebo, lasting 4 weeks. The efficacy of the drug was measured in reduction of the number of wet nights per week. The enuretic status of the children was documented for 4 weeks after the treatment was stopped.Results: a significant reduction was found in the mean wet nights per week in the desmopressin group (p=0.001) as compared to placebo group (p = 0.83), from 4.3 wet nights during pretreatment to 0.6 & from 4.6 to 4.4 respectively, however this effect was not sustained after treatment was finished as only five children (18.5%) in the drug-treated group remained dry compared with one child (3.7%) in the placebo group. Side effects associated with the nasal adminstration of desmopressin were mild & infrequent.Conclusion: desmopressin has a clinically significant & safe effect on children with primary nocturnal enuresis https://jkmc.uobaghdad.edu.iq/index.php/MEDICAL/article/view/503nocturnal enuresisDesmopressin
spellingShingle Ala’a Al-Deen
Efficacy & safety of Desmopressin in the treatment of pediatric nocturnal enuresis
مجله كليه طب الكندي
nocturnal enuresis
Desmopressin
title Efficacy & safety of Desmopressin in the treatment of pediatric nocturnal enuresis
title_full Efficacy & safety of Desmopressin in the treatment of pediatric nocturnal enuresis
title_fullStr Efficacy & safety of Desmopressin in the treatment of pediatric nocturnal enuresis
title_full_unstemmed Efficacy & safety of Desmopressin in the treatment of pediatric nocturnal enuresis
title_short Efficacy & safety of Desmopressin in the treatment of pediatric nocturnal enuresis
title_sort efficacy safety of desmopressin in the treatment of pediatric nocturnal enuresis
topic nocturnal enuresis
Desmopressin
url https://jkmc.uobaghdad.edu.iq/index.php/MEDICAL/article/view/503
work_keys_str_mv AT alaaaldeen efficacysafetyofdesmopressininthetreatmentofpediatricnocturnalenuresis