View report page

79
III. Treatment
This naturally depends on the type of enuresis in each
patient and on the etiological factors and temperament of the
child.
Invariably the time spent in talking to the child in explaining
the cause and the routine which will be adopted has proved
invaluable, particularly where the mother is conscientious and
interested, as it then rests with her to remind the child of what
has been said.
Medicinal Treatments
1. Syrup (or tablets) of Tryptizol is proving to be more and
more effective in certain cases. This is prescribed through
contact with the patient's general practitioner. The dosage
can easily be adjusted according to age and type of
enuresis and the results therefrom have been extremely
interesting and successful.
2. Dexten. The bonded (long acting) dexamphetamine
5 mgm. usually at bedtime.
3. The Bedbuzzer. 26 of these are now in use through
the Clinic and recently a vibratory type has been used for
a deaf child.
The Buzzers in use will now gradually be replaced by
the transistorised type of alarm.
4. Tofranil. 16 children were treated with Tofranil during
1966 with quite striking results after careful selection of
the case.
5. Routine and Charting. This is used in conjunction
with one of the above treatments in all cases, and in some
cases may be the only approach used.
IV. Results
In 1966, 67 cases were discharged dry, as compared with
65 in 1965, and with 57 in 1964.
Children discharged during 1966:—
Over 5 years Under 5 years
Boys Girls Boys Girls
44 18 2 3
In addition, 27 cases were considered "self-discharged",