Treatment of Enuresis Nocturna by Circular Muscle Exercise (Paula Method)

Clalit Health Services

Status: Unknown

Conditions: Monosymptomatic Enuresis Nocturna

Treatments: Drug: Desmopresin; Behavioral: Paula Method of Circular Muscle Exercise

Study type: Interventional

Funder types: Other

Identifiers

NCT00404638

004192

Details and patient eligibility

About

Several treatment modalities for children suffering from monosymptomathic nocturnal enuresis are available including drugs, alarms, acupuncture, pelvic floor training and biofeedback. The aim of this study is to to test if Paula Method (circular muscle exercise) can be an another treatment modality.

Full description

Paula method is based on circular muscle exercises. The theory behind the Paula method is that all sphincters in the human body work simultaneosly, mutually affecting one another possibly mediated by "oscillation" of the spinal cord. According to this theory, exercising the ring muscles in a certain area of the body will result in strengthening the circular muscles in other areas. This method was found to to be efficacious for treatment of urinary stress incontinence in women.

Sex: All

Ages: 5 to 15 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. age- 7 to 15 years old suffering from monosymptomatic enuresis nocturna
2. informed consent

Exclusion criteria

1. UTI
2. neurological diseases or syndromes
3. metabolic disesaes
4. congenital disease or malformation of the urinary tract

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)