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Published on: August 14, 2019
Biofeedback therapy and dysfunctional voiding in children
1Antoci Center for Pediatric Urology and Nephrology, University of California Irvine Medical Center, Building 3, 101 The City Drive, Orange, CA 92868, USA. bduel@uci.edu
Insights
Dysfunctional voiding in children, characterized by incontinence and UTIs, is effectively treated with biofeedback therapy. This technique teaches children to relax their pelvic floor muscles during urination, improving bladder control.
Area of Science:
- Pediatric Urology
- Behavioral Medicine
Background:
- Dysfunctional voiding, described since the 1970s, affects neurologically intact children.
- Clinical manifestations include urinary incontinence and recurrent urinary tract infections (UTIs).
Purpose of the Study:
- To evaluate the effectiveness of biofeedback as a treatment for dysfunctional voiding in children.
Main Methods:
- Biofeedback therapy is employed to train children in pelvic floor muscle relaxation during micturition.
- Treatment involves teaching conscious control over sphincter function.
Main Results:
- Biofeedback has demonstrated significant effectiveness in managing dysfunctional voiding.
- Retrospective studies indicate positive outcomes in a majority of treated children.
Conclusions:
- Biofeedback is a highly effective and increasingly popular treatment modality for pediatric dysfunctional voiding.
- This non-invasive approach offers a promising solution for children suffering from incontinence and recurrent UTIs.
Abstract:
Dysfunctional voiding, a condition in which a neurologically intact child fails to relax the urinary sphincter during micturition, was first described in the 1970s. Clinically, these children have urinary incontinence and recurrent urinary tract infections. Biofeedback, through which the child is taught to relax the pelvic floor during voiding, has become an increasingly popular method of treatment. Many series, most retrospective, have shown biofeedback to be very effective in the treatment of this disorder.
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