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ICCS S3-2
(LO)
PSYCHOLOGICAL FOLLOW-UP OF THE PARENTS ALONG THE TREATMENT OF
CHILDREN WITH PRIMARY MONOSYMPTOMATIC ENURESIS IMPROVES RESULTS
Jose Murillo NETTO
1
, Cacilda SÁ
2
, Stefani MARTINS
2
, Ana Carolina PAIVA
2
, Ubirajara BARROSO JR.
3
and Jose BESSA JR.
4
1) Hospital e Maternidade Therezinha de Jesus da Faculdade de Ciências Médicas e da Saúde de Juiz de Fo, Surgery -
Division of Urology, Juiz De Fora, BRAZIL - 2) Federal University of Juiz de Fora (UFJF), Surgery - Division of Urology,
Juiz De Fora, BRAZIL - 3) Federal University of Bahia (UFBA), Surgery - Division of Urology, Juiz De Fora, BRAZIL - 4)
State University of Feira de Santana (UEFS), Surgery - Division of Urology, Juiz De Fora, BRAZIL
PURPOSE
Parents may see enuresis as a failure in the education process, resulting in punishment and generating anguish and
guilt. Herein, we evaluate the results of psychological follow-up of parents in the treatment of enuretic children.
MATERIAL AND METHODS
Sixty-six children aged 6 to 15 yo with monossimptomatic enuresis were randomized into two groups. Children in both
groups were evaluated with voiding and dry nights diaries and answered the Impact Scale, and were treated with
urotherapy and psychological follow-up. In the Experimental Group (EG) parents received psychological follow-up every
2 weeks for six months while in Control Group (CG) parents were not followed. All parents answered a questionnaire to
evaluate violence against their children (Conflict Tactics Scales Parent-Child - CTSPC) and the Tolerance Scale.
RESULTS
Mean age, gender and the CTSPC questionnaire results, prior to treatment, were similar in both groups. In the
evaluation of the parents, CTSPC showed less violence after treatment in GE (p=0.0069). Tolerance Scale showed that
parents of all enuretic children were intolerant and that, after treatment, the intolerance diminished more in GE
(p=0.0003). In children, Impact scale showed that they suffer a great impact from being enuretics and that after follow-
up those in GE had a smaller impact (p=0.0085) compared to controls. After treatment, the percentage of dry nights
improved better in GE (52[30-91]) than in GC (10[3-22.5]) p=0.0001.
CONCLUSIONS
Children whose parents received psychological follow-up during treatment improved percentage of dry nights and had
less impact of enuresis after treatment while their parents could deal better with the problem and were more tolerant
after receiving psychological support during their children's treatment.