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Related Concept Videos

Urodynamic Studies: Uroflowmetry01:19

Urodynamic Studies: Uroflowmetry

Uroflowmetry is a non-invasive urodynamic test designed to measure various aspects of urination, including volume, flow rate, and the time to void. This test is crucial for diagnosing and assessing conditions such as bladder outlet obstruction, bladder dysfunction, incomplete bladder emptying, incontinence, and urinary tract blockages caused by benign prostatic hyperplasia (BPH) and urethral strictures.Pre-Test Instructions:Before a uroflowmetry test, patients are typically advised to drink...
Imaging Studies VI: Voiding Cystourethrography and Cystography01:22

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Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
The Micturition Reflex01:26

The Micturition Reflex

Urination, or micturition involves the coordination of the bladder's detrusor muscle and two sphincters to ensure controlled bladder emptying.
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating urine...
Urinary Bladder01:23

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Disorders of the Urinary System01:20

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The urinary system is responsible for eliminating waste and excess fluids from the body. However, disorders of the urinary system can arise due to various reasons like infections, stress, age, congenital abnormalities, and lifestyle.
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Imaging Studies II: Ultrasonography01:24

Imaging Studies II: Ultrasonography

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Updated: Jun 5, 2026

Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing
05:25

Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing

Published on: August 14, 2019

Biofeedback therapy for dysfunctional voiding in children.

Joel F Koenig1, Patrick H McKenna

  • 1Department of Surgery, Southern Illinois University School of Medicine, Springfield, IL 62794, USA.

Current Urology Reports
|January 8, 2011
PubMed
Summary
This summary is machine-generated.

Pelvic floor muscle retraining using biofeedback is now a primary, noninvasive treatment for children with dysfunctional voiding. This approach, enhanced by computer games, offers excellent resolution and reduces medication-related morbidity.

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Area of Science:

  • Pediatric Urology
  • Pelvic Floor Rehabilitation
  • Urodynamics

Background:

  • Management of pediatric lower urinary tract dysfunction has evolved significantly over the past decade.
  • Historically, medication was the primary treatment for dysfunctional voiding in children.
  • Noninvasive methods are increasingly preferred for managing these conditions.

Purpose of the Study:

  • To highlight the shift towards noninvasive management of dysfunctional voiding in children.
  • To describe the efficacy of biofeedback-based pelvic floor muscle retraining.
  • To discuss the evolution and future directions of biofeedback therapy.

Main Methods:

  • Review of management strategies for pediatric lower urinary tract dysfunction.
  • Emphasis on biofeedback-based pelvic floor muscle retraining.
  • Integration of animated computer games to enhance biofeedback therapy.

Main Results:

  • Biofeedback therapy, particularly with computer game integration, effectively resolves dysfunctional voiding in children.
  • This noninvasive approach successfully manages coexisting conditions like vesicoureteral reflux and constipation.
  • Morbidity associated with medications and surgical interventions has been reduced at centers utilizing biofeedback.

Conclusions:

  • Biofeedback-based pelvic floor muscle retraining is a highly effective, noninvasive treatment for pediatric dysfunctional voiding.
  • Technological advancements, such as computer games, have improved treatment accessibility and outcomes.
  • Future efforts should focus on refining biofeedback techniques and expanding patient access to care.