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Half-day urotherapy improves voiding parameters in children with dysfunctional emptying.
Wendy F Bower1, S Y Yew, K Y F Sit
1Department of Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong, SAR China. wendyb@surgery.cuhk.edu.hk
European Urology
|January 20, 2006
Summary
Half-day, paired voiding re-education significantly improves bladder emptying in children with voiding dysfunction. These positive outcomes for bladder emptying efficiency are sustained at three months, offering a viable alternative to hospitalization.
Area of Science:
- Pediatric Urology
- Urotherapy
- Pediatric Behavioral Health
Background:
- Children with voiding dysfunction often require intensive bladder emptying re-education.
- Hospitalization for this training can be financially prohibitive and logistically challenging for families.
Purpose of the Study:
- To assess the efficacy of a half-day, paired voiding re-education program for children with voiding dysfunction.
- To evaluate improvements in immediate and mid-term voiding parameters.
Main Methods:
- 48 children with diagnosed voiding dysfunction were recruited and matched.
- A half-day training session included postural instruction, muscle retraining, and supervised voiding.
- Voiding parameters were assessed pre-training, post-training, and at 1 and 3-month follow-ups.
Main Results:
- Abnormal urine flow curves decreased from 76.2% pre-training to 14% immediately post-training and 11.7% at 3-month follow-up.
- Bladder emptying efficiency significantly improved post-training.
- Mean postvoid residual urine (PVR) significantly improved and was maintained at follow-up.
Conclusions:
- A half-day, paired voiding re-education program is effective in improving bladder emptying in children.
- The observed improvements in bladder emptying are sustained at the 3-month follow-up.
- This approach offers a practical and effective alternative to inpatient training.