Effectiveness of hypnotherapeutic and pharmacological treatment in primary monosymptomatic enuresis

Abstract

Background: In primary monosymptomatic enuresis, it is not clear what dynamic changes occur in the efficacyof hypnotherapeutic versus pharmacological treatment plan. Objetive: Determine the changes over time in theeffectiveness of hypnotherapy and a pharmacological treatment plan in primary monosymptomatic enuresis. Methods: A prospective, longitudinal and analytical study (time series) was performed on a universe of 119patients between 7 and 16 years old, with primary monosymptomatic enuresis. 40 patients treated withimipramine and 79 patients with 1 session/1 hour /week of hypnotherapy were evaluated on the frequency oftemporal changes of enuretic episodes during 14 weeks of treatments at the Hypnosis Clinic. Results: Alogarithmic scale of the distributions of temporal changes in the frequencies of enuretic episodes inhypnotherapeutic and pharmacological treatments is presented, with an enuretic plateau from week 3 toweek 6 in hypnotherapy. Conclusions: The hypnotherapeutic treatment was more favorable, as it had an earlyand efficient response compared to treatment with imipramine.