Related Experiment Video

Updated: May 2, 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

19.7K

High efficacy of biofeedback therapy for treatment of dysfunctional voiding in children

Katarzyna Krzemińska1, Michał Maternik1, Magdalena Drożyńska-Duklas1

  • 1Department Pediatric & Adolescent Nephrology & Hypertension Medical University Gdańsk, Poland.

Central European Journal of Urology
|March 1, 2014
PubMed

Insights

Biofeedback therapy effectively treats dysfunctional voiding in children, resolving daytime and nighttime incontinence in over half of cases. This pelvic floor therapy offers a valuable option for children unresponsive to standard treatments.

Area of Science:

  • Pediatric Urology
  • Behavioral Medicine
  • Pelvic Floor Rehabilitation

Background:

  • Dysfunctional voiding is a common pediatric condition causing incontinence.
  • Many children do not respond to conventional urotherapy or pharmacotherapy.
  • Urodynamic confirmation is crucial for diagnosing dysfunctional voiding.

Purpose of the Study:

  • To evaluate the efficacy of biofeedback treatment in children with dysfunctional voiding.
  • To assess the resolution of clinical symptoms following biofeedback therapy.
  • To determine the effectiveness of biofeedback in a large pediatric cohort.

Main Methods:

  • 81 children (6-18 years) with urodynamically confirmed dysfunctional voiding participated.
  • Most children (92.6%) were refractory to standard urotherapy and pharmacotherapy.
  • Biofeedback training involved pelvic floor muscle exercises over 2 months, combined with urotherapy.

Main Results:

  • Daytime incontinence resolved in 50.7% and nighttime incontinence in 53.65% of affected children.
  • Partial improvement was reported by an additional 40.3% for daytime and 26.7% for nighttime wetting.
  • Pre-treatment symptoms included daytime wetting (82.7%), nighttime wetting (50.6%), increased voiding frequency (39.5%), and decreased bladder capacity (53.1%).

Conclusions:

  • Biofeedback therapy is an effective treatment for pediatric dysfunctional voiding.
  • Pelvic floor therapy with biofeedback should be considered for children resistant to standard urotherapy.
  • This approach offers a significant improvement in incontinence symptoms.
Abstract

Keywords:
biofeedbackchildrendysfunctional voidingincontinence

More Related Videos

Real-time fMRI Biofeedback Targeting the Orbitofrontal Cortex for Contamination Anxiety10:51

Real-time fMRI Biofeedback Targeting the Orbitofrontal Cortex for Contamination Anxiety

Published on: January 20, 2012

20.8K
Evaluation of Biomaterials for Bladder Augmentation using Cystometric Analyses in Various Rodent Models10:19

Evaluation of Biomaterials for Bladder Augmentation using Cystometric Analyses in Various Rodent Models

Published on: August 9, 2012

21.0K

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...
9.4K
Imaging Studies VI: Voiding Cystourethrography and Cystography01:22

Imaging Studies VI: Voiding Cystourethrography and Cystography

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...
4.7K
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...
4.1K
Operant Conditioning Intervention01:24

Operant Conditioning Intervention

Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...
738
Urinary Bladder01:23

Urinary Bladder

The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
4.7K
Modeling in Therapy01:26

Modeling in Therapy

Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
823