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Comparative, prospective, and randomized study between urotherapy and the pharmacological treatment of children with

Renata Martins Campos, Antonio Gugliotta, Osamu Ikari

    Einstein (Sao Paulo, Brazil)
    |July 12, 2013
    PubMed

    Insights

    Pelvic floor muscle training combined with behavioral changes offers a more effective treatment for childhood urinary incontinence than medication. This approach led to significantly more dry nights in children compared to oxybutynin treatment.

    Area of Science:

    • Pediatric Urology
    • Behavioral Medicine

    Background:

    • Nonmonosymptomatic enuresis is a common condition in children.
    • Current treatments include behavioral modifications, pharmacotherapy, and physical therapies.

    Purpose of the Study:

    • To compare the efficacy of behavioral modification plus pelvic floor muscle training (PFMT) versus behavioral modification plus oxybutynin chloride in treating nonmonosymptomatic enuresis in children.

    Main Methods:

    • A randomized controlled trial involving 47 children with nonmonosymptomatic enuresis.
    • Group I (n=21) received behavioral modification plus oxybutynin.
    • Group II (n=26) received behavioral modification plus PFMT.

    Main Results:

    • Both groups received behavioral modification instructions.
    • Group II (PFMT) showed a progressive increase in dry nights over three months (14.9, 20.8, 24.0).
    • Group I (oxybutynin) showed fewer dry nights (12.2, 13.4, 15.9) with significant differences noted in the second and third months.

    Conclusions:

    • Pelvic floor muscle training combined with behavioral changes is more effective than oxybutynin for treating childhood urinary incontinence.
    • This combined approach leads to a greater number of dry nights and improved outcomes.
    Abstract

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