Urotherapy vs. Urotherapy With Constipation Treatment for Nocturnal Enuresis

NCT ID: NCT02337413

Last Updated: 2018-04-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

WITHDRAWN

Clinical Phase

PHASE4

Study Classification

INTERVENTIONAL

Study Start Date

2020-06-30

Study Completion Date

2020-12-31

Brief Summary

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Constipation treatment has been found to ameliorate symptoms in some patients with nocturnal enuresis (bed wetting at night). This study aims to explore if treatment of patients without overt constipation (As defined by the ROME III criteria) will also respond to stool softening and GI behavioral therapy with reduction of their urinary tract symptoms when added to standard urotherapy.

Detailed Description

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Conditions

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Nocturnal Enuresis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Investigators

Study Groups

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Urotherapy + Constipation Treatment

This group will be treated with standard behavioral urotherapy in addition to receiving active stool softening with PEG3350 and standard constipation instruction.

Group Type ACTIVE_COMPARATOR

Polyethylene glycol 3350

Intervention Type DRUG

Patients will initially receive three days of high dose PEG3350 treatment (1.5gr/kg up to 100gr maximum) and then will be stepped down to 0.8gr/kg subsequently and tapered accoriding to stool consistency and frequency.

Constipation behavioral therapy

Intervention Type BEHAVIORAL

Patients in the active group will receive dietary instruction as to fiber content, as well as behavioral therapy including active sitting on the toilet to attempt defaction following meals.

Urotherapy

Intervention Type BEHAVIORAL

Patients will be guided for appropriate drinking and toilet habits, and will start with timed voiding.

Urothearpy alone

This group will receive standard behavioral urotherapy alone

Group Type OTHER

Urotherapy

Intervention Type BEHAVIORAL

Patients will be guided for appropriate drinking and toilet habits, and will start with timed voiding.

Interventions

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Polyethylene glycol 3350

Patients will initially receive three days of high dose PEG3350 treatment (1.5gr/kg up to 100gr maximum) and then will be stepped down to 0.8gr/kg subsequently and tapered accoriding to stool consistency and frequency.

Intervention Type DRUG

Constipation behavioral therapy

Patients in the active group will receive dietary instruction as to fiber content, as well as behavioral therapy including active sitting on the toilet to attempt defaction following meals.

Intervention Type BEHAVIORAL

Urotherapy

Patients will be guided for appropriate drinking and toilet habits, and will start with timed voiding.

Intervention Type BEHAVIORAL

Other Intervention Names

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Normalax

Eligibility Criteria

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Inclusion Criteria

1. Aged 5-17 years at time of signing of informed consent.
2. MNE as defined by ≥3 wet nights/week without daytime incontinence
3. Do not meet Rome III criteria for functional constipation

Exclusion Criteria

1. Inability to provide signed informed consent.
2. Inability to comply with the study protocol.
3. Neurogenic bladder
4. Attention Deficit Disorder (ADD or ADHD) on medical treatment.
5. Known significant sacral, perineal, or other congenital or surgical defect.
6. Known orthopedic/neurological disease which may affect urinary continence, cause constipation, or affect reading of abdominal x-rays. (e.g. spastic cerebral palsy, severe scoliosis)
7. Patient taking medicinal drugs which can cause urinary incontinence or constipation.
Minimum Eligible Age

5 Years

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Rabin Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Noam Zevit

Pediatric Gastroenterologist

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Institute of Gastroenterology, Nutrition and Liver Diseases; Schneider Children's Medical Center of Israel

Petah Tikva, , Israel

Site Status

Countries

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Israel

References

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Hodges SJ, Anthony EY. Occult megarectum--a commonly unrecognized cause of enuresis. Urology. 2012 Feb;79(2):421-4. doi: 10.1016/j.urology.2011.10.015. Epub 2011 Dec 14.

Reference Type BACKGROUND
PMID: 22173180 (View on PubMed)

Other Identifiers

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rmc130342ctil

Identifier Type: -

Identifier Source: org_study_id

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