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Urinary and Genital Disorders (Children)

Bedwetting solved

03/13/2000

Question:

Unsuccessful treatment by perscription for bedwetting for two of my grandsons resulted in my trying a alarm device that worked right away for one and within a week for the other. Why are these not reccommended first before medication which can alter children? I bought this device in a medical supply store on my own.

Answer:

Good question! I ask myself that all the time! I as a routine always suggest use of an alarm system first prior to attempting medical therapy. It may be a sign of our "pill-oriented" society that many parents often prefer to control the problem with a pill rather than use a potentially labor-intensive alarm system that can actually cure the problem. There unfortunately is no perfect solution for bedwetting. The cure rate of alarm systems is around 60% whereas the cure rate of medicines is only 20%. The chances of a child outgrowing the problem is roughly 15% in one year. Though medicines can control the wetting they usually do not fix the problem since wetting may recur once the medicines are stopped. What is particularly bothering to me is that health insurance companies will pay for expensive medicines that won`t cure the problem but will not pay for alarms that may cure the problem.

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Response by:

The Ohio State University Rama Jayanthi, MD
Pediatric Urologist
Section of Pediatric Urology
Nationwide Children's Hospital
The Ohio State University
Rama   Jayanthi, MD