Institute of Clinical Medicine, Aarhus University Hospital, Skejby, Aarhus, Denmark.
J Urol. 2010 Oct;184(4):1482-8. doi: 10.1016/j.juro.2010.06.024. Epub 2010 Aug 19.
We evaluated the effect of timer watch treatment in addition to standard urotherapy in children with overactive bladder and daytime urinary incontinence.
A total of 60 children with daytime urge incontinence were included in the study. Following a 4-week run-in period of standard urotherapy children were randomized to 12 weeks of standard urotherapy with or without a timer watch. Incontinence episodes were registered and 48-hour bladder diaries were obtained before randomization, and at weeks 1, 11 and 12. Long-term response was evaluated at 7 months.
Two children became continent during the run-in period. Before intervention children in the timer group were slightly more wet than children in the standard urotherapy group (median 7 [IQR 25% to 75% 6 to 7] vs 6 [3 to 7] wet days per week, p <0.05). Following 12 weeks of standard urotherapy children randomized to timer assisted urotherapy had significantly fewer wet days per week (median 2, IQR 25% to 75% 0 to 5) vs those undergoing standard urotherapy alone (5, 2.75 to 6.75, p <0.01). In the timer group 18 children (60%) achieved a greater than 50% decrease in incontinence episodes, compared to only 5 (18%) treated without timer assistance. Nine patients (30%) in the timer group and no child in the standard urotherapy group achieved complete daytime continence. The timer increased compliance with the timed voiding regimen. At 7 months of followup 60% of children in the timer group were still continent in the daytime.
A programmable timer watch significantly improves the effect of standard urotherapy. When using the timer watch as a supplement to standard urotherapy 60% of the children obtained complete and sustainable daytime continence.
我们评估了在伴有日间尿急和日间尿失禁的儿童中，除标准尿路治疗外，使用定时器手表治疗的效果。
共有 60 名日间尿急失禁的儿童纳入研究。在标准尿路治疗的 4 周导入期后，将儿童随机分为标准尿路治疗加或不加定时器手表的 12 周治疗。在随机分组前、第 1、11 和 12 周记录失禁发作次数，并获得 48 小时膀胱日记。在 7 个月时评估长期反应。
2 名儿童在导入期内变得无失禁。在干预前，定时器组的儿童比标准尿路治疗组的儿童稍微更湿（中位数 7 [IQR 25%至 75%：6 至 7] vs 6 [3 至 7]湿日/周，p <0.05）。在接受 12 周标准尿路治疗后，随机接受定时器辅助尿路治疗的儿童每周湿日数明显减少（中位数 2，IQR 25%至 75%：0 至 5），而单独接受标准尿路治疗的儿童为 5 [2.75 至 6.75]，p <0.01）。在定时器组中，18 名儿童（60%）的失禁发作减少超过 50%，而无定时器辅助治疗的儿童仅有 5 名（18%）。在定时器组中，9 名儿童（30%）和标准尿路治疗组中无儿童达到完全日间无失禁。定时器提高了定时排空方案的依从性。在 7 个月的随访中，定时器组中有 60%的儿童仍在日间无失禁。
可编程定时器手表显著提高了标准尿路治疗的效果。当将定时器手表作为标准尿路治疗的补充时，60%的儿童获得了完全和持续的日间无失禁。
