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Management of abnormal postvoid residual urine in children with dysfunctional voiding

Yusuf Kibar1, Mesut Piskin, Hasan C Irkilata

  • 1Section of Pediatric Urology, Department of Urology, Gulhane Military Medical Academy, Ankara, Turkey. ykibar@gata.edu.tr

Urology
|November 10, 2009
PubMed

Insights

Biofeedback therapy combined with urotherapy significantly improved dysfunctional voiding in children. This approach reduced abnormal postvoid residual urine (PVR) and urinary tract infections (UTIs) more effectively than urotherapy alone.

Area of Science:

  • Pediatric Urology
  • Behavioral Therapy
  • Urodynamics

Background:

  • Dysfunctional voiding is common in children, often associated with abnormal postvoid residual urine (PVR).
  • Standard urotherapy is a common treatment, but its efficacy can be enhanced.

Purpose of the Study:

  • To evaluate the effectiveness of biofeedback therapy in conjunction with standard urotherapy for treating dysfunctional voiding in children.
  • To assess the impact on postvoid residual urine (PVR) volume and urinary tract infections (UTIs).

Main Methods:

  • A prospective study involving 94 children with dysfunctional voiding and abnormal PVR.
  • Randomized groups: Group 1 received standard urotherapy plus biofeedback; Group 2 received standard urotherapy alone.
  • Outcomes including uroflow-electromyography, UTI rates, and PVR were measured over six months.

Main Results:

  • The combination therapy group showed higher rates of normal voiding patterns (80.6% vs. 56.2%) and PVR resolution (64.5% vs. 34.4%).
  • Febrile urinary tract infection (UTI) rates decreased significantly in both groups, but more so with combination therapy (3.2% vs. 9.3%).
  • Both treatment modalities improved outcomes, but the combination of urotherapy and biofeedback yielded superior results.

Conclusions:

  • Combining standard urotherapy with biofeedback therapy offers significant improvements for children with dysfunctional voiding.
  • This integrated approach is more effective in resolving PVR and reducing UTI incidence compared to urotherapy alone.
Abstract

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