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Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing
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Dysfunctional Voiders-Medication Versus Urotherapy?

Angela M Arlen1,2

  • 1Department of Urology, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 3RCP, Iowa City, IA, 52242-1089, USA. angela-arlen@uiowa.edu.

Current Urology Reports
|February 19, 2017
PubMed
Summary
This summary is machine-generated.

Dysfunctional voiding in children is challenging. Animated biofeedback and urotherapy are effective, with pharmacotherapy playing a minor role.

Keywords:
Bladder-bowel dysfunction (BBD)Dysfunctional voidingLower urinary tract symptoms (LUTS)PediatricUrotherapy

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Area of Science:

  • Pediatric Urology
  • Urodynamics
  • Child Health

Background:

  • Dysfunctional voiding, characterized by urethral sphincter contraction during urination, presents management challenges in children.
  • Current approaches to lower urinary tract (LUT) dysfunction vary, with an unclear role for pharmacotherapy.

Purpose of the Study:

  • To review current treatment modalities for dysfunctional voiding in children.
  • To clarify the role of pharmacotherapy in managing LUT dysfunction.

Main Methods:

  • Review of current literature on dysfunctional voiding treatments.
  • Analysis of the efficacy of urotherapy, biofeedback, and pharmacotherapy.

Main Results:

  • Animated biofeedback is a primary treatment for children unresponsive to standard urotherapy.
  • Comprehensive biofeedback programs, including education and home exercises, show high success rates.
  • Botulinum toxin A offers satisfactory results in select refractory cases.
  • Conservative measures like bowel regimens and timed voiding are foundational.
  • Pharmacotherapy serves an ancillary role in managing dysfunctional voiding.

Conclusions:

  • Animated biofeedback and comprehensive urotherapy are effective for pediatric dysfunctional voiding.
  • Pharmacotherapy is not a primary treatment but can supplement other interventions.
  • Refractory cases may benefit from botulinum toxin A or escalated urotherapy with biofeedback.