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[Biofeedback therapy for urinary incontinence in children]
J L Blanco1, F J Oliver, R De Celis
1Sección de Urología Pediátrica, Servicio de Cirugía Pediátrica, Hospital de Cruces, Baracaldo.
Insights
Biofeedback therapy effectively treats functional urinary incontinence in children. Pelvic floor muscle training with biofeedback offers a simple, effective solution for cases resistant to conventional treatments.
Area of Science:
- Pediatric Urology
- Rehabilitation Medicine
- Pelvic Floor Therapy
Context:
- Functional urinary incontinence affects children, often proving refractory to standard treatments.
- Conventional therapies like bladder training and anticholinergics may fail or lead to recurrence.
Purpose:
- To evaluate the efficacy of biofeedback (BFB) therapy for pediatric functional urinary incontinence.
- To assess BFB as a treatment for children unresponsive to or relapsing after other interventions.
Summary:
- 34 children (mean age 8.4 years) with refractory urinary incontinence received BFB therapy.
- BFB was administered via surface electrodes during bladder filling or voiding.
- 44% achieved total continence, and 20.5% showed partial response; 26% saw no benefit.
Impact:
- Biofeedback therapy presents a simple and effective method for pediatric functional urinary incontinence.
- BFB can be a valuable adjunct to existing therapies for persistent or recurrent cases.
- This approach aids in improving continence outcomes in pediatric patients.
Introduction:
We evaluated the efficacy of biofeedback (BFB) therapy in childrens with functional urinary incontinence refractory to conventional treatment.
Materials And Methods:
34 patients where included (26 girls and 8 boys). They received BFB therapy during the last year for daytime urinary incontinence. 27 patients had urge syndrome with detrusor overactivity, 3 presented giggle incontinence and 4 patients had dysfunctinal voiding. Mean age was 8,4 years. All cases were refractory to bladder training and/or anticholinergics, or recidived after supression. The BFB therapy was carried out with surface electrodes during bladder filling (29 patients) and during voiding (4 patients). One received both therapies.
Results:
15 patients (44%) achieved total continence (daytime and nightime) and 7 (20,5%) responded partially. 9 Patients (26%) didn't obtain any benefit and 4 were losed.
Conclusions:
In children with functional urinary incontinence pelvic floor muscles training with biofeedback is a simple and effective method. It should be used associated to other therapies, when these fails or repeats after an initial success.
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