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Related Experiment Videos

Interactive computer games for treatment of pelvic floor dysfunction.

C D Herndon1, M Decambre, P H McKenna

  • 1University of Connecticut Health Center, Farmington, Connecticut, USA.

The Journal of Urology
|October 5, 2001
PubMed
Summary

Pelvic floor muscle retraining effectively treats voiding dysfunction in most children. A conservative approach with computer games is successful, with medication reserved for select cases with small bladder capacity.

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Area of Science:

  • Pediatric Urology
  • Rehabilitation Medicine
  • Urodynamics

Background:

  • Voiding dysfunction is a common condition in children.
  • Pelvic floor muscle retraining (PFMR) is a recognized treatment modality.
  • Computer game-assisted PFMR offers an engaging approach to therapy.

Purpose of the Study:

  • To evaluate the effectiveness of a conservative medical program combined with computer game-assisted PFMR for pediatric voiding dysfunction.
  • To identify factors associated with treatment success or failure.
  • To substantiate previous findings on the efficacy of PFMR.

Main Methods:

  • A retrospective review of patients with voiding dysfunction undergoing PFMR.
  • Subjective evaluation of symptoms including enuresis, constipation, and urinary tract infections.

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  • Statistical analysis (Fisher's exact test) to identify predictors of failure.
  • Medication use for patients unresponsive to initial conservative treatment.

    • Main Results:

    • High compliance (95%) was observed in 160 pediatric patients.
    • Significant subjective improvement in 87% of patients.
    • Predictors of failure included small bladder capacity (<60% predicted) and noncompliance.
    • 83% of patients unresponsive to biofeedback improved with medication.

    Conclusions:

    • Conservative management with computer game-assisted PFMR is highly effective for pediatric voiding dysfunction.
    • Most patients can be treated effectively without medication.
    • Anticholinergic medication can benefit a select group with small bladder capacity unresponsive to PFMR.