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Effectiveness of Pelvic Floor Muscle Rehabilitation Combined With Desmopressin in Children With Primary Monosymptomatic Nocturnal Enuresis

RecruitingNAAges 7 Years - 13 YearsAllBahçeşehir University
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In plain words

What the trial is, and whether it could suit you

The aim of this randomized controlled trial is to evaluate the effects of Structured Pelvic Floor Muscle Rehabilitation (SPFMR) in children with Primary Monosymptomatic Nocturnal Enuresis (PMNE) who are undergoing desmopressin asetat (DDAVP) treatment prescribed by a pediatric urologist. The study aims to investigate whether SPFMR can reduce the frequency and severity of enuresis episodes and whether it can also reduce relapse rates in the short- and long-term follow-up. The main questions the study seeks to answer are: * Does SPFMR reduce the frequency and severity of enuresis episodes in children with PMNE? * Does SPFMR treatment reduce relapse rates in children with PMNE in the long term? Researchers will compare the group receiving SPFMR in addition to DDAVP treatment with a control group receiving only DDAVP treatment. This comparison will help evaluate the effect of SPFMR on the s

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📋 Eligibility rules (as published)
Inclusion Criteria: * Being between 7 and 13 years old * Diagnosed with primary MNE by a pediatric urology department within the last 6 months * No urinary tract infection verified by laboratory tests * Ability to communicate in Turkish and absence of mental deficit * No diagnosed psychiatric problems * Willingness to participate in the study (child and family) Exclusion Criteria: * Presence of orthopedic conditions preventing evaluation * Anatomical anomalies in the urinary system * History of urinary system surgery * Neurological disorders * Presence of mental retardation * History of orthopedic surgery that could alter pelvic or lower extremity integrity * Receiving PFM rehabilitation in the last 6 months * Using nighttime alarm therapy in the last 6 months * Receiving any treatment for enuresis in the last 6 months
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What it tests

  • Structured pelvic floor rehabilitation
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Where

2 sites
Private Selcuk Silay Pediatric Urology Clinic
Istanbul, Turkey (Türkiye)
Medipol Acıbadem Region Hospital
Istanbul, Turkey (Türkiye)
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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