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Methods and Rates of Punishment Implemented by Families to Enuretic Children in Turkey

By M.I.Karaman, O. Koca, E. V. VKucuk, M.I. Ozturk, and M. Akyuz

International Braz J Urol, Volume 39, Issue 3, May - June, 2013, Pages 402-407

Editor's comments:
Punishment for children who wet their bedsIn this study in 501 children and their families, the authors found that 58% oft he children have been punished in one way or the other because of their bedwetting.  In addition, in 52% of the situations, the punishment lastet for more than 1 year.  In families with higher education (at least high school), were found to use punishment methods more than others.

ABSTRACT

PURPOSE:
Nocturnal enuresis is a serious health problem affecting a significant portion of the population. In this study, we investigated the frequency of punishment methods in nocturnal enuresis (NE) in Turkey and its relationship with other parameters.

MATERIALS AND METHODS:
A total of 501 children (301 boys and 200 girls) who were admitted to our outpatient clinic due to nocturnal enuresis were included in the study. Mean age was 9.39 years (range 5-18). Prepared questionnaire form inquiring educational status of the family, frequency and implementation and duration of punishment methods was applied to patients and families.

RESULTS:
At least one punishment method was applied to 291 (58.1%) of children with NE. Punishment methods of parents were detected as condemnation (257 patients, 51.3%), depriving desires of the child (120 patients, 23.9%), humiliating the child in the presence of other children (113 patients, 22.6%), reprimanding- threatening with punishment (203 patients, 40.5%). This application was found to continue for longer than 1 year in 52% of punished children. Families graduated of high school and above were found to use punishment methods significantly more than others.

CONCLUSION:
According to the results of our study, a quite high proportion of enuretic children were detected to be exposed to punishment methods. Even, some parents consider that these methods are a part of nocturnal enuresis treatment. We, the doctors, should endeavor more for raising awareness of the community in order to diminish this worrisome behavior.

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Consensus Guidelines

Practical consensus guidelines for the management of enuresis. 
Evaluation and management of enuresis, a common condition, is not a priority in training programs for medical doctors (MDs), despite being a common condition.