Facts associated with the use of an enuresis alarm:
(1) The program requires some effort.
(2) Best results are achieved with motivated families.
(3) It can work in 60-80% of children.
(4) It may take 8-14 weeks to achieve dryness.
(5) The relapse rate is about 20%.
Situations where difficulties with the use of an enuresis alarm may be encountered:
(1) The child is not sufficiently mature.
(2) The child is not concerned about the wetting.
(3) The parents are unenthusiastic about treatment.
(4) The parents are intolerant of wetting.
(5) There are social or psychological stresses in the child and family.
(6) Multiple episodes of wetting occur at night.
(7) The parents quit using the device too soon.
(8) The child or parent(s) do not comply with the recommended routine for using the alarm.
Recommended routine for the child:
(1) Wake up and switch off the alarm.
(2) Go to the toilet and finish voiding.
(3) Change the bedclothes as needed.
(4) Reset the alarm.
(5) Record the episode in the record chart.
Recommended routine for the parent(s):
(1) Go to the child quickly and help them to wake up.
(2) Encourage the child to switch off the alarm.
(3) Help the child to change the bedclothing and to reset the alarm.
(4) Praise and reward the child. If star chart is used, place a star on the chart if the child managed to wake up in response to the alarm.
