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Outcome of overactive bladder in children
Stanley Hellerstein1, Amy Ajans Zguta
1The University of Missouri School of Medicine at Kansas City, Missouri, The Children's Mercy Hospital, Kansas City, Missouri 64108, USA.
Clinical Pediatrics
|August 19, 2003
Summary
Overactive bladder in children often resolves with behavioral changes and medication. Most children experienced symptom improvement or complete recovery after a 3-year follow-up.
Area of Science:
- Pediatric Urology
- Clinical Medicine
Background:
- Overactive bladder (OAB) is a common condition in children.
- Effective management strategies are crucial for improving quality of life.
Purpose of the Study:
- To evaluate the long-term outcomes of OAB management in children.
- To assess the efficacy of behavioral modification and anticholinergic medication.
Main Methods:
- A cohort of 144 children diagnosed with OAB was followed for an average of 3.15 years.
- Initial treatment involved behavioral modification (fluid intake, timed voiding, constipation treatment).
- Anticholinergic medication was administered to non-responders.
Main Results:
- 68 children (47.2%) recovered completely from OAB symptoms.
- 61 children (42.4%) showed decreased symptoms.
- 15 children (10.4%) had persistent OAB symptoms.
- Children with posturing had a higher risk of urinary tract infections.
Conclusions:
- Behavioral modification and anticholinergic medication are effective in managing pediatric overactive bladder.
- A significant majority of children achieve symptom resolution or improvement.
- Posturing may indicate a higher risk for complications like UTIs.