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Published on: August 14, 2019
Long-term effects of a urotherapy training program in children with functional urinary incontinence: a 2-year
Christian J Bachmann1, Kathrin Heilenkötter, Ellen Janhsen
1Department of Pediatrics, Klinikum Links der Weser, Bremen, Germany. cbachman@med.uni-marburg.de
Insights
This study shows that urotherapy training significantly improves long-term outcomes for childhood functional urinary incontinence. The positive effects on daytime and nighttime wetting were sustained or improved over two years.
Area of Science:
- Pediatric Urology
- Functional Urinary Incontinence Management
Background:
- Functional urinary incontinence is a common childhood issue.
- Urotherapy is a recognized treatment modality for incontinence.
Purpose of the Study:
- To assess the long-term effectiveness of a urotherapy training program.
- Evaluate outcomes 2 years post-intervention for childhood incontinence.
Main Methods:
- A cohort of 48 patients (ages 10-14) with urge incontinence or dysfunctional voiding participated.
- A questionnaire assessed outcomes 2 years after completing urotherapy training.
Main Results:
- High cure/improvement rates for daytime wetting (86.7% inpatient, 93.8% outpatient).
- Significant cure/improvement rates for nighttime wetting (79.2% inpatient, 41.6% outpatient).
Conclusions:
- Urotherapy demonstrated superior success rates compared to the natural course of incontinence.
- Improvement rates remained stable, with cure rates increasing over the 2-year follow-up.
Objective:
To evaluate the long-term effectiveness of a urotherapy training program implemented at our institution. Day- and/or night-time wetting as a consequence of functional urinary incontinence is a common problem in childhood. A number of treatment methods are available, among them urotherapy.
Material And Methods:
Forty-eight patients (age range 10-14 years) with urge incontinence or dysfunctional voiding were evaluated with a questionnaire 2 years after completion of a urotherapy training program.
Results:
Two years after completion of training, 86.7% of the inpatient and 93.8% of the outpatient groups with day-time wetting and 79.2% of the inpatient and 41.6% of the outpatient groups with night-time wetting were cured or had improved.
Conclusions:
Compared with the published data on the natural course of incontinence, the urotherapy program evaluated in this study resulted in higher success rates. Compared with 6-month follow-up, improvement rates proved to be stable, and cure rates (with the exception of patients with night-time wetting in the outpatient training group) even increased significantly during the 2-year follow-up.
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