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Published on: August 9, 2012
[Effect of biofeedback in the treatment of voiding dysfunction]
Z Díte1, R Kocvara, Z Smicková
1Katedra urologie, Subkatedra detské urologie IPVZ, Praha. zdenekdite@seznam.cz
Insights
Biofeedback therapy effectively treats voiding dysfunction in children by improving pelvic floor relaxation. This treatment leads to significant improvements in incontinence, dyscoordination, and urinary tract infections.
Area of Science:
- Pediatric Urology
- Pelvic Floor Rehabilitation
Context:
- Voiding dysfunction is common in children, often linked to poor pelvic floor muscle relaxation.
- Current treatments aim to improve bladder control and reduce associated symptoms.
Purpose:
- To evaluate the effectiveness of biofeedback therapy in treating pediatric voiding dysfunction.
- To assess the impact of biofeedback on pelvic floor relaxation and related symptoms.
Summary:
- Thirty-nine children with voiding dysfunction received biofeedback (BFB) therapy.
- An average of three sessions achieved a good clinical response in 55.7% of patients.
- Follow-up (12-24 months) showed resolution of incontinence (66.7%), improved dyscoordination (57.6%), and reduced UTIs (41.1%).
Impact:
- Biofeedback therapy is a highly effective treatment for children with voiding dysfunction.
- It improves detrusor-sphincter coordination and accelerates the maturation of the voiding reflex.
- This therapy offers a significant non-invasive option for managing pediatric lower urinary tract symptoms.
Background:
Biofeedback represents a treatment option for children with voiding dysfunction characterised with poor pelvic floor relaxation.
Methods And Results:
Thirty nine children with symptoms of voiding dysfunction were treated in BFB program. Average number of sessions to achieve good response was three. Follow up was 12 to 24 months. Very good clinical response was obtained in 55, 7% of patients, who were characterised by cessation or resolution of incontinence in 66, 7%, dyscoordination in 57, 6% and urinary tract infection in 41, 1% of children.
Conclusions:
Biofeedback therapy is an effective method for treating poor pelvic floor relaxation. It helps to improve coordination of the detrusor and external sphincter function and it accelerates voiding reflex maturation.
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