Database: Study 10 of 39 studies               Database Nocturnal enuresis (Infantile enuresis) - EA First author and date Milani L 1976 Version consulted C Condition nocturnal enuresis (mean duration 3 yrs) Study type case series N / Groupings 28 (aged 5-16 yrs, mean 9 yrs; 19 M, 9 F), 22 unresponsive to medication, 4 to psychotherapy and 2 to hypnotherapy; 5 had occult spina bifida, and a total of 16 some abnormality of the lumbosacral spine Type of acupuncture MA, EA, acupressure, spinal manipulation Points used MA: BL-23, BL-62, LIV-1 (all bilateral), Ren-4, Ren-6; EA: auricular Bladder; acupressure: sifeng pts on 5th finger 9and corresponding pt at distal finger crease) Parameters used ear pts: LF, low intensity [PE SAR 130]; acupressure with edge of nail; auricular pt detection: Nogier acupuntoscope, Gades Detector Stimulation duration 20 mins Number of sessions 6 sessions over 3 wks, with nightly acupressure at sifeng pts Follow up no details Endpoint measure total cure: no or only sporadic enuresis; partial cure: <2/wk [A] or <3/wk [B]; no improvement: >3/wk Outcome before treatment, 5 or more instances of enuresis/wk; in all 16 cases with spinal abnormalities, corresponding auricular (Nogier) pt was tender, and in 19, Bladder pt was reactive; total cure: 14 (10 M, 4 F) (50%) (including all 5 cases of spina bifida), partial cure: [A] 6 (4 M, 2 F) (22%), [B] 4 (2 M, 2 F) (14%), no improvement: 4 (3 M, 1 F) (14%) Additional notes in 5 cases, enuresis was initially precipitated following psychological stress (moving house, or birth of a brother); acupuncture should be considered seriously as method of choice Analysis / problems impossible to determine which intervention/s of benefit References Milani L [Cases of enuresis nocturna treated with single reflexotherapy. Clinical and therapeutic evaluation]. Minerva Medica. 1976 Nov 24; 67(57): 3753-6 Secondary references - Data entry code DM