TRY for DRY Healthcare Training Instructor Max Maizels, MD Division of Urology Children’s Memorial Hospital – Chicago Professor of Urology Northwestern.

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Presentation transcript:

TRY for DRY Healthcare Training Instructor Max Maizels, MD Division of Urology Children’s Memorial Hospital – Chicago Professor of Urology Northwestern Medical School Managing Enuresis

Is our wide policy of laissez-faire because: PEDIATRIC ENUROLOGY - we believe it is unnecessary to treat proactively ? treatments of bedwetting are no good, so why bother with fuss and expense ? we haven't been trained to, so, we don't know how ?

AGEENURESIS (%) PREVALENCE OF BEDWETTING AMONG AMERICAN CHILDREN B. Schmidt Your Child's Health PEDIATRIC ENUROLOGY

Mostly pediatricians & family practitioners Plus A few urologists A few social workers and A few physical therapists PEDIATRIC ENUROLOGY Personal survey of 80 professionals:

PEDIATRIC ENUROLOGY Most of these healthcare providers have never even had informal instruction in addressing this problem.

Personal survey of 80 professionals: PEDIATRIC ENUROLOGY Major treatments used: Tofranil Alarm DDAVP

Popular Treatment Approach patience --- “..it isn't important, you'll outgrow it.” PEDIATRIC ENUROLOGY Personal survey of 80 professionals:

Most had never personally held an enuresis alarm!! PEDIATRIC ENUROLOGY Personal survey of 80 professionals:

MANAGEMENT PATTERNS 1 o CARE PHYSICIANS NIGHT ALARM PEDIATRIC ENUROLOGY REFERS TO PSYCHOLOGIST EVALUATE ONLY AFTER FAMILY MENTIONS 50% SUCCESS RATE WITH DDAVP, BUT FEARFUL TO STOP MED RESTRICT NIGHT LIQUIDS

MANAGEMENT PATTERNS 1 o CARE PHYSICIANS IF TREATMENT DOESN’T INVOLVE SURGERY, PEDIATRIC ENUROLOGY BUT IT IS THE JOB OF THE URLOGIST TO ENGAGE PEDIATRICIANS. PATIENT SHOULD NOT NEED TO SEE A UROLOGIST….

No Accepted Method to Evaluate and Manage Routine Bedwetting So Most Parents Just Ask Each Other. PEDIATRIC ENUROLOGY Before TRY for DRY

DRYNESS IS JUST NOT AS EASY AS... TAKING A TABLET

DRYNESS IS JUST NOT AS EASY AS... TAKING A PUFF

Rubber pants… until you learn, kid. until you learn

TRY for DRY Help for Physicians and Parents

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