Treatment of Primary Enuresis in a Mentally Retarded Adult: The Need to Supplement The Bell and Pad Procedure

Treatment of Primary Nocturnal Enuresis in a Boy with Down's Syndrome

Primary nocturnal enuresis in a nine-year-old boy with Down's Syndrome was treated successfully with an enuresis alarm. A criterion of four consecutive dry weeks was reached after fourteen weeks and the child remained dry at six-month and twelve-month follow-up. Treatment included a gradual withdrawal phase. The study replicates others showing that a simple ‘bell and pad’ procedure can suffice. Client, family and procedural variables associated with success and failure of alarm treatments are discussed.