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Long-term prospective evaluation of an inpatient voiding reeducation program for lower urinary tract conditions in
Tanja Golli1, Anamarija Meglič, Rajko B Kenda
1Department of Pediatric Nephrology, University Children's Hospital, University Medical Center Ljubljana, Bohoričeva ul. 20, 1000 Ljubljana, Slovenia. tanja.golli@gmail.com
Insights
This study found that a pediatric voiding school program is an effective treatment for children with lower urinary tract conditions, showing durable results in long-term follow-up.
Area of Science:
- Pediatric Nephrology
- Urology
Background:
- Lower urinary tract conditions are common in children.
- Effective treatment programs are crucial for managing these conditions.
Purpose of the Study:
- To evaluate the efficacy of a specific inpatient voiding school program for pediatric lower urinary tract conditions.
- To assess the long-term effectiveness and durability of the treatment results.
Main Methods:
- A prospective controlled study involving 64 pediatric patients.
- Random allocation into two groups: immediate treatment (Group A) and delayed treatment (Group B).
- Group B patients received no treatment for 3 months, after which they entered the program.
Main Results:
- No spontaneous regression of symptoms was observed in the delayed treatment group during the waiting period.
- Final success rates were high and not significantly different between groups (86.2% for Group A, 86.7-90% for Group B).
- Long-term follow-up (48 months) confirmed statistically identical success rates between the groups (p = 1.000).
Conclusions:
- The inpatient voiding school program is an effective treatment for pediatric lower urinary tract conditions.
- The treatment yields durable results, as evidenced by long-term follow-up.
- The program demonstrates significant clinical value in pediatric nephrology and urology.
Purpose:
Our aim was to evaluate the efficacy of our treatment program for children with lower urinary tract conditions, developed at the Department of Pediatric Nephrology of the University Children's Hospital in Ljubljana.
Methods:
Sixty-four patients with lower urinary tract conditions were randomly allocated to two groups. Group A received treatment immediately, whereas patients of group B received no treatment for a period of 3 months-the amount of time it takes to complete our program. No child in group B experienced spontaneous regression of their symptoms in the 3-month delay period, while the patients of group A were already being treated and were achieving results. Thus, all the patients of group B then entered the program in exactly the same way as patients of group A.
Results:
The final success rate in both groups did not differ significantly (p = 0.706-1.000) and ranged from 86.2 % for group A and 86.7 to 90 % for group B. Long-term follow-up showed statistically identical success rates (p = 1.000).
Conclusion:
This prospective controlled study with long-term follow-up (48 months) shows that our treatment program, applied as an inpatient voiding school program, is an effective method, with durable results.
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