COMMON QUESTIONS

Frequently Asked Questions

Everything you need to know about bedwetting and the TheraPee treatment.

TheraPee combines an advanced bedwetting alarm with interactive online software. The STOPEE™ alarm alerts the child upon the very first sign of moisture, while the software provides a personalized, step-by-step treatment program devised by Dr. Sagie, simulating a private clinic visit.

Yes, absolutely. The STOPEE™ device is designed with safety as the top priority. It is completely wireless, radiation-free, and does not attach to the child’s body in any way. The sensor pad is placed under the bedsheet, ensuring zero direct contact while providing reliable moisture detection.

TheraPee is highly effective for a wide age range, specifically designed for children and teens aged 4 to 18. The interactive software adapts its content and approach to be age-appropriate, ensuring engagement and effectiveness for younger children and older teens alike.

Most children achieve complete dryness within 12 to 20 weeks of consistent use. However, every child is different. The interactive software tracks progress and adjusts the program accordingly, providing personalized guidance throughout the entire treatment journey.

Unlike standard bedwetting alarms, TheraPee is a complete treatment system. It uniquely combines the advanced STOPEE™ alarm with interactive online software developed by Dr. Sagie, a world-renowned bedwetting specialist with over 40 years of experience. This combination of hardware and software delivers a clinically proven approach with over 90% success rate.

Yes. The TheraPee interactive software is a web-based application, which means it works on any computer or tablet with a modern web browser. No downloads or installations are required.

Bedwetting in most cases stems from deep sleep. Many parents report that everyone in the house woke up to the alarm except the wet child. In Dr. Sagie's clinics, 97% of parents reported their child is a very deep sleeper. Despite this, children responded positively to the comprehensive treatment.

A common misconception is that the alarm's purpose is to teach the child to wake up at night. This is not true. The purpose is to condition the reflex system, which works subconsciously. The child learns to connect involuntary urination to the alarm response. When the child does not wake to the alarm, parents are guided through essential activities vital for the learning process.

About 40-50% of patients improve by using a bedwetting alarm alone. For most, however, the alarm is insufficient and other therapeutic techniques must be added. Treatment with an alarm alone should not last longer than five to six months, as the child gets used to it and the effect diminishes.

When treating bedwetting, many factors must be considered: patient age, gender, bedwetting frequency, daytime control, and more. Treating a five-year-old who wets every night is different from treating a twelve-year-old who wets once a week. Response to treatment also varies: it can be fast, slow, unstable, or regressive.

We identified every scenario from treating over 150,000 patients since 1984 and defined every possible profile. We developed sophisticated algorithms that provide responses matching what we deliver in our clinics.

Parents supply information on a virtual chart. The system analyzes the data, and the algorithm selects the right response through personalized video clips. The virtual therapist addresses the patient and parents, provides feedback on progress, gives reinforcements, demonstrates assignments, and presents statistics.

When you purchase TheraPee, you are not buying generic instructions. You are getting a comprehensive, tailor-made treatment that replicates Dr. Sagie's successful face-to-face approach.

There are various types of bedwetting alarms. The common feature is that they all sound in reaction to the first drop of urine and are battery operated. Beyond this, there are substantial differences. There are three main types: alarms attached to the body (buzzers), wireless buzzers, and the bell-and-pad type.

The TheraPee STOPEE alarm is a bedside device that is completely detached from the child's body, with no wires and no radiation. It uses an ultra-thin sensor pad placed under the sheet for maximum comfort and safety.

Consider these factors when deciding: Age: four years and up. Maturity: children aged 4-5 should be mature enough to understand simple tasks. Motivation: even when children do not express their distress verbally, they are often bothered by bedwetting. Frequency: if bedwetting frequency is inconsistent, start treatment when it increases. Seasonal patterns: for children who are dry in summer and wet in winter, begin treatment right after autumn.

When not to start behavioral treatment: when there is a medical condition related to enuresis (such as urinary tract infections, epileptic seizures, or spinal cord problems), or when the child is experiencing emotional stress or acute trauma. In these cases, address the underlying cause first.

Most children outgrow bedwetting spontaneously between ages two and four. At age four, 25% still wet the bed. By age six, it drops to 15%, and by twelve, only 4-5%. The problem is that we cannot predict if or when it will stop on its own.

When there is a gradual decrease in frequency, waiting may be reasonable. When there is no significant decrease, treatment is recommended.

Even without a pre-existing psychological problem, bedwetting can affect a child's self-esteem and confidence over time. The child may struggle with questions like: What is wrong with me? Why only me? As parents, doing everything possible to help resolve the problem is worthwhile.

No. Parents sometimes wake the child during the night and take them to the bathroom. This disrupts the learning process. It creates an illusion of success (the child wakes up dry because the parent intervened), which actually reduces the chances of real, lasting success.

The treatment works by conditioning the subconscious reflex system. Waking the child manually bypasses this process entirely.

Most clinics treat enuresis as a medical problem and prescribe drug therapy, typically Desmopressin (DDAVP). While there may be improvement while medicated, relapse rates are very high (60-90%) after stopping.

Advantages: easy to administer, fast results when effective. Disadvantages: limited long-term success, high relapse rate, possible side effects, and ongoing cost.

Medication may be appropriate in specific situations: when the child sleeps away from home, when the child is not cooperating with behavioral treatment, or when behavioral treatment alone is unsuccessful. Drug treatment is generally not recommended before ages six to seven.

No. The behavioral treatment with the bedwetting alarm does not alter the child's sleep patterns. The change that occurs is that the child learns, during sleep, to identify the signal from the bladder to the brain's reflex system.

As a result, the child will either contract the sphincter muscles during sleep without waking up (relieving bladder pressure), or wake up to use the bathroom. Either outcome means dry nights.

When bedwetting does not occur every night, it means the reflex system is functioning partially. When it happens every night, the system is not functioning at all.

Several factors can trigger wet nights: high fluid intake before bedtime, fatigue, weather changes, cold nights, low mood, mental tension, illness, and more.

The time of the nighttime accident helps us assess progress and determine prognosis. Sleep goes through different stages during the night. The first third is characterized by deep sleep (stage 4). As the night progresses, sleep becomes lighter.

When bedwetting occurs early at night, it means the restraint mechanism did not function. When it occurs later, it means the mechanism worked properly for several hours before failing. In simple terms, the later the accident, the better. When accidents happen toward morning, we can predict with confidence that the child is on the right path.

Not necessarily. While many parents are excited when their child starts waking up to use the bathroom, it is not a requirement for becoming dry.

To stay dry, the child needs to learn to recognize the signal from the bladder to the subconscious reflex system in the brain and respond accordingly, either by waking up or by holding it while asleep by contracting the sphincter muscle.

During the final phase of treatment, when the child is mostly dry, we see three patterns: sleeping through the entire night, waking up every night to use the bathroom, or a mix of both. All three are equally good.

The pattern depends on several factors: the amount of urine accumulated (more urine creates a stronger signal), the sleep stage when the signal is sent (lighter sleep makes waking easier), bladder volume (smaller volume increases the need to wake), and nerve activity (children with overactive bladders tend to wake more often).

What matters is staying dry, regardless of whether the child wakes up or not.

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