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Biofeedback training for detrusor overactivity in children
T Yamanishi1, K Yasuda, N Murayama
1Departments of Urology and Neurology, School of Medicine, Chiba University and Department of Urology, Dokkyo University Medical School, Koshigaya Hospital, Saitama, Japan.
The Journal of Urology
|October 12, 2000
Summary
Biofeedback training effectively treats pediatric incontinence caused by detrusor overactivity, even when other treatments fail. This method improves bladder control and reduces urinary symptoms in children.
Area of Science:
- Pediatric Urology
- Urodynamics
- Pelvic Floor Rehabilitation
Background:
- Detrusor overactivity is a common cause of pediatric incontinence.
- Conventional treatments often fail in refractory cases.
- Biofeedback offers a non-invasive therapeutic approach.
Purpose of the Study:
- To evaluate the efficacy of biofeedback training for treating pediatric incontinence.
- To assess the impact of biofeedback on urodynamic parameters in children with detrusor overactivity.
Main Methods:
- A cohort of 39 children (22 boys, 17 girls) with refractory detrusor overactivity and incontinence were enrolled.
- Urodynamic studies were conducted to assess bladder function and sphincter activity.
- Biofeedback training involved instructing patients to contract anal sphincters to inhibit detrusor contractions.
Main Results:
- Of 35 participants completing the study, 23 were cured and 4 improved.
- Urodynamic studies showed resolution or improvement in detrusor overactivity in 28 of 33 children.
- Significant increases in bladder capacity were observed post-treatment.
Conclusions:
- Biofeedback training is a viable and effective treatment for pediatric incontinence secondary to detrusor overactivity.
- The therapy demonstrates success even in cases resistant to conventional medical and behavioral interventions.