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Children's Hospital at Dartmouth Hitchcock (CHad)
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Conditioning Therapy

This involves the use of alarms that teach the child to wake up at night when he needs to urinate. Small, battery-operated alarms are worn against the child's body and respond to moisture. The alarm awakens the child as soon as urination begins. The child should then get up and finish urinating in the toilet. The goal is for the child to learn to wake up when the bladder is full. This may take two to three months.

There are two types of alarms available. One alarm uses sound, much like a loud alarm clock. This method has a good long-term success rate of 70 percent. The newer alarm uses a mechanical vibration rather than sound to awaken the child. This is useful for the child who does not wake up to the sound alarm or for families in which the sound alarm is disruptive for other family members.

There are several resources for these alarms, including www.bedwettingstore.com.

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