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2. Procedure.—At each clinic the original procedure has been continued
and is as follows: —
(a) Examination of urine by Health Visitor (for sugar, albumin,
reaction and specific gravity).
(b) History of enuresis is taken (including that of any relevant
illnesses).
(c) Physical Examination.
(d) The approachability of the child and parent is noted.
(e) General advice to the child and parent is given, and in
particular, discussion is directed towards individual problems.
(f) Charting of all dry nights is explained.
(g) Medicinal treatment is issued or prescribed (vide No. 3).
3. Treatment.—The treatment issued or prescribed was as follows: —
Cases
{a) Amphetamine Sulphate (either 2.5 mgms.. 5 mgms.
or 7 mgms.) at night at a time decided upon for each
individual child 78
(b) Amphetamine Sulphate + Mist. potassium citrate
chyoscyamus 2
(c) Phenobarbitone gr.½ at night 3
(+ phenobarbitone for cases failed under (a) above 7
(d) Ephedrine gr. ½ at night 5
(all of which had been treated by amphetamine
sulphate and included under (a)
(e) Advice and charting only 13
(f) Cases referred to Hospital or Child Guidance Clinic
(4 of which are included under (a) above 5
N.B.—Only the amphetamine sulphate was issued by the Area
Health Office.
4. Analysis of Results:—
Cases
(i) Completely dry 29 (30%)
(ii) Very marked improvement (less than 5 wet in
28 nights) 11
(iii) Marked improvement (less than 14 wet in 28
nights) 13
(iv) Some improvement (more than 14 wet in 28 nights) 22
(v) No improvement 11
(vi) Not yet reattended 11
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(vii) Of the cases referred to the Clinic during 1952
and who were still receiving treatment during
1953, a further 41 cases were discharged completely
dry.