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Nocturnal enuresis in children between laser acupuncture and medical treatment: a comparative study

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Abstract

Nocturnal enuresis (NE) is intermittent involuntary voiding during sleep in a child aged 5 years or more. The study was conducted to compare the effect of using laser acupuncture and medication for the treatment of children with nocturnal enuresis (NE) and evaluation of urodynamic parameter after treatment. A randomized study included 45 children ranged from 5 to 15 years presenting with NE. They were randomized into three equal groups—group A, managed with desmopressin acetate; group B, managed with laser acupuncture; and group C, managed with a combination of laser acupuncture and desmopressin—all groups received behavioral therapy. The children were evaluated before and after 3 months of the study to record the efficacy of therapy, side effects and bladder capacity, and 3 months of follow-up after cessation of treatment by bladder diary. A statistically significant higher cure rate was reported in group B patients (73.3 %), while in groups A and C, improvement was reported in 20.0 and 13.3 %, respectively (p value = 0.002). Laser acupuncture is noninvasive, painless tool, with no side effects and lower recurrence rate which can be considered as an alternative therapy for patients with NE.

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References

  1. Caldwell PH, Nankivell G, Sureshkumar P (2013) Simple behavioural interventions for nocturnal enuresis in children. Cochrane Database Syst Rev. doi:10.1002/14651858.CD003637.pub3

  2. Meyers KEC, & Kaplan BS (2004) Pediatric nephrology and urology: the requisites in pediatrics. Elsevier Mosby, Philadelphia

  3. Walle JV, Van Laecke E (2008) Pitfalls in studies of children with monosymptomatic nocturnal enuresis. Pediatr Nephrol 23(2):173–178

    Article  Google Scholar 

  4. Huang T, Shu X, Huang YS, Cheuk DK (2011) Complementary and miscellaneous interventions for nocturnal enuresis in children. Cochrane Database Syst Rev 12(12):CD005230. doi:10.1002/14651858.CD005230.pub2

  5. Yang C, Hao Z, Zhang L, Guo Q (2015) Efficacy and safety of acupuncture in children: an overview of systematic reviews. Pediatr Res 78(2):112–119

    Article  PubMed  Google Scholar 

  6. Weber M, Fussgänger-May T, Wolf T (2007) “Needles of light”: a new therapeutic approach. Med Acupunct 19(3):141–150

    Article  Google Scholar 

  7. Loening-Baucke V (2007) Prevalence rates for constipation and faecal and urinary incontinence. Arch Dis Child 92(6):486–489

    Article  PubMed  Google Scholar 

  8. Van Hoeck K, Bael A, Lax H, Hirche H, Van Gool JD (2007) Circadian variation of voided volume in normal school-age children. Eur J Pediatr 166(6):579–584

    Article  PubMed  Google Scholar 

  9. Nevéus T (2011) Nocturnal enuresis—theoretic background and practical guidelines. Pediatr Nephrol 26(8):1207–1214

    Article  PubMed  PubMed Central  Google Scholar 

  10. Gold JI, Nicolaou CD, Belmont KA, Katz AR, Benaron DM, Yu W (2009) Pediatric acupuncture: a review of clinical research. Evid Based Complement Alternat Med 6(4):429–439

    Article  PubMed  Google Scholar 

  11. Koumi MAEHE, Ahmed SAS, Salama AM (2013) Acupuncture efficacy in the treatment of persistent primary nocturnal enuresis. Arab J Nephrol Transplant 6(3):173–176

    PubMed  Google Scholar 

  12. Karaman MI, Koca O, Küçük EV, Öztürk M, Güneş M, Kaya C (2011) Laser acupuncture therapy for primary monosymptomatic nocturnal enuresis. J Urol 185(5):1852–1856

    Article  PubMed  Google Scholar 

  13. Bower WF, Diao M, Tang JL, Yeung CK (2005) Acupuncture for nocturnal enuresis in children: a systematic review and exploration of rationale. Neurourol Urodyn 24(3):267–272

    Article  PubMed  Google Scholar 

  14. Yuksek MS, Erdem AF, Atalay C, Demirel A (2003) Acupressure versus oxybutinin in the treatment of enuresis. J Int Med Res 31(6):552–556

    Article  CAS  PubMed  Google Scholar 

  15. Radvanska E, Kamperis K, Kleif A, Kovács L, Rittig S (2011) Effect of laser acupuncture for monosymptomatic nocturnal enuresis on bladder reservoir function and nocturnal urine output. J Urol 185(5):1857–1862

    Article  CAS  PubMed  Google Scholar 

  16. Honjo H, Kawauchi A, Ukimura O, Soh J, Mizutani Y, Miki T (2002) Treatment of monosymptomatic nocturnal enuresis by acupuncture: a preliminary study. Int J Urol 9(12):672–676

    Article  PubMed  Google Scholar 

  17. Emmons SL, Otto L (2005) Acupuncture for overactive bladder: a randomized controlled trial. Obstet Gynecol 106(1):138–143

    Article  PubMed  Google Scholar 

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Author contributions

Jehan Alsharnoubi: Protocol development

Amany Abd Elazem: Data collection

Adly Sabbour: Data analysis

Jehan Alsharnoubi and Ahmed Shoukry: Manuscript writing/editing

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Authors and Affiliations

  1. National Institute of Laser Enhanced Sciences, Cairo University, Cairo, Egypt

    Jehan Alsharnoubi

  2. Faculty of Physical therapy, Badr University, Cairo, Egypt

    Adly A. Sabbour

  3. Abu ELRish Hospital, Cairo University, Cairo, Egypt

    Ahmed I. Shoukry

  4. Ministry Of Health, Cairo, Egypt

    Amany M. Abdelazeem

Authors
  1. Jehan Alsharnoubi
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  2. Adly A. Sabbour
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  3. Ahmed I. Shoukry
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  4. Amany M. Abdelazeem
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Corresponding author

Correspondence to Jehan Alsharnoubi.

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The authors declare no conflict of interest

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This research received no grant from any funding agency in the public, commercial or not-for-profit sectors.

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Alsharnoubi, J., Sabbour, A.A., Shoukry, A.I. et al. Nocturnal enuresis in children between laser acupuncture and medical treatment: a comparative study. Lasers Med Sci 32, 95–99 (2017). https://doi.org/10.1007/s10103-016-2090-9

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  • DOI: https://doi.org/10.1007/s10103-016-2090-9

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