Nocturnal enuresis- nighttime urinary incontinence -bedwetting or sleepwetting - The TeCake

Are you annoyed of your child’s habit of bedwetting? If yes then here’s sigh of relief as researchers have found methods to control the problem. They have found that the magnetic stimulation of the lower back leads the reduction in frequency of nighttime bedwetting.

In addition, researchers have also concluded in the study conducted at the Assiut University Hospital, Egypt, that repetitive sacral root magnetic stimulation (rSMS) can reduce the frequency of nocturnal enuresis, which is also known as bed-wetting.

The study included 41 patients that were suffering from nocturnal enuresis. They were later divided into two groups, one receiving  real magnetic stimulation, meanwhile, the other one a sham stimulation using the same equipment and procedures. Each and every patient has received ten sessions for two weeks (five per week).

During the session, a magnetic stimulator was placed over the sacral vertebrae in the lower back of the patient and pulses with a frequency of 15 Hz, were applied on the basis of 10 seconds ON and 30 seconds OFF. On the other hand, the second group was treated with the sham procedure. In the procedure, a stimulator was internally adjusted so that little magnetic stimulation could reach the underlying tissue.

In the meantime, all of the patients had been taking a tricyclic antidepressant drug imipramine for at least three months without satisfactory results and they continued taking their prescribed medication throughout the study.

“It seems likely that rSMS produced some of its effect in the present patients by a direct effect on bladder control,” said lead investigator Eman M Khedr, professor at the Department of Neurology, Assiut University Hospital.

“In the present study rSMS could have increased arousal or enhanced inhibition of neuronal re-uptake of noradrenaline and serotonin,” Khedr said.

“We have previously reported that patients with nocturnal enuresis have pathologically increased excitability and reduced inhibitory processing in the motor cortex and it is possible that rSMS could affect these measures as well,” Khedr said.

After providing 10 sessions to each of the patients, the average number of weekly nocturnal bed-wetting episodes fell from 5.7 to 0.3 per week after the end of the treatment sessions for the real group compared to 6.5 to 1.8 per week after sham stimulation.

Although the procedure resulted in improvement (placebo effect), the improvement in the group with magnetic stimulation had continued one month later (one per week), though, the other group returned to baseline behaviour (5.2 per week).

Nocturnal enuresis also known as nighttime urinary incontinence and commonly called bedwetting or sleepwetting, is involuntary urination while asleep after the age at which bladder control usually occurs. Nocturnal enuresis is considered primary (PNE) when a child has not yet had a prolonged period of being dry. Secondary nocturnal enuresis (SNE) is when a child or adult begins wetting again after having stayed dry.

Most bedwetting is a developmental delay—not an emotional problem or physical illness. Only a small percentage (5% to 10%) of bedwetting cases are caused by specific medical situations. Bedwetting is frequently associated with a family history of the condition.

Bedwetting children and adults can suffer emotional stress or psychological injury if they feel shamed by the condition. Treatment guidelines recommend that the physician counsel the parents, warning about psychological damage caused by pressure, shaming, or punishment for a condition children cannot control.

The research appeared in the journal Restorative Neurology and Neuroscience.

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