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Prospective evaluation of clinical voiding reeducation or voiding school for lower urinary tract conditions in
P Hoebeke1, C Renson, M De Schryver
1Department of Urology, Gent University College Arteveldehogeschool, Ghent University, and Department of Paediatrics and Biostatistics Unit, Ghent University Hospital, Gent, Belgium. piet.hoebeke@ugent.be
Insights
A clinical voiding reeducation program, or voiding school, significantly improved lower urinary tract conditions in children. This treatment led to reduced incontinence episodes and increased voided volume compared to no treatment.
Area of Science:
- Pediatric Urology
- Continence Management
- Behavioral Therapy
Background:
- Lower urinary tract conditions are common in children.
- Effective non-neurogenic treatments are crucial for improving quality of life.
- Voiding reeducation programs offer a structured approach to managing these conditions.
Purpose of the Study:
- To evaluate the efficacy of a clinical voiding reeducation program (voiding school) for children with lower urinary tract conditions.
- To compare the outcomes of voiding school to a control group receiving no treatment.
Main Methods:
- A prospective controlled study involving 38 children in the intervention group and 15 controls.
- The intervention included instruction, voiding diaries, biofeedback, uroflowmetry, and psychological support.
- Data collected included voiding habits, incontinence episodes, and voided volume, assessed before, during, and 6 months post-program.
Main Results:
- 92% of children in the voiding school group showed positive effects.
- Significant improvements were observed in reduced incontinence and increased voided volume compared to controls.
- 42% of participants became completely dry, with further improvements in 24%.
Conclusions:
- Clinical voiding reeducation programs (voiding school) are effective in treating lower urinary tract conditions in children.
- The program positively impacts voided volume and reduces incontinence.
- This approach offers a beneficial treatment option for pediatric incontinence.
Purpose:
We conducted a prospective controlled study evaluating the results of a clinical voiding reeducation program (voiding school) for treatment of lower urinary tract conditions in children compared to no treatment.
Materials And Methods:
A total of 38 children with nonneurogenic lower urinary tract conditions were included in the study. Controls, consisting of 15 children on the waiting list for the same program, received no treatment. The clinical voiding reeducation program consisted of instruction on voiding and drinking, individualized voiding diaries, pelvic floor biofeedback training, uroflowmetry, alarm therapy, cognitive therapy and psychological support. Data on voiding, drinking, pelvic floor control, voided volume, uroflow, incontinence and stool habits were gathered before the program, during the program and 6 months after the program. In the control group the same data were gathered.
Results:
In the study group a positive effect of voiding school was observed in 92% of children, with 42% becoming completely dry, 24% improving from incontinence during the day and night to incontinence during the day or night only, and 26% remaining incontinent. In all patients the number and amount of incontinence episodes decreased. In the control group no differences were observed between the start of study and 6 months later. The study group did significantly better on voided volume and incontinence compared to controls.
Conclusions:
In this prospective controlled study a positive effect was noted on voided volume and incontinence with a clinical voiding reeducation program (voiding school).
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