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Is urotherapy alone as effective as a combination of urotherapy and biofeedback in children with dysfunctional

Adem Altunkol1, Deniz Abat2, Nevzat Can Sener1

  • 1Department of Urology, Adana City Teaching and Research Hospital, University of Healthy Sciences, Adana, Turkey.

International Braz J Urol : Official Journal of the Brazilian Society of Urology
|August 22, 2018
PubMed

Insights

Adding biofeedback to standard urotherapy significantly improved outcomes for children with dysfunctional voiding. This combination therapy reduced incontinence, infection rates, and residual urine volumes more effectively than urotherapy alone.

Area of Science:

  • Pediatric Urology
  • Behavioral Medicine

Background:

  • Dysfunctional voiding is a common condition in children, often managed with standard urotherapy.
  • The efficacy of combining urotherapy with biofeedback for treating pediatric dysfunctional voiding requires further investigation.

Purpose of the Study:

  • To compare the effectiveness of standard urotherapy versus a combined urotherapy and biofeedback approach.
  • To assess the impact of these therapies on voiding patterns and related symptoms in children with dysfunctional voiding.

Main Methods:

  • Evaluated data from 45 children diagnosed with dysfunctional voiding using uroflowmetry-electromyography (EMG).
  • All patients received standard urotherapy, followed by the addition of biofeedback sessions.
  • Compared post-void residual urine volumes, incontinence rates, and infection rates before and after interventions.

Main Results:

  • The combination of urotherapy and biofeedback led to significantly lower post-void residual urine volumes, incontinence rates, and infection rates compared to standard urotherapy alone (p < 0.05).
  • A statistically significant improvement in overall voiding symptoms was observed after incorporating biofeedback sessions.

Conclusions:

  • Combined urotherapy and biofeedback therapy is more effective than standard urotherapy alone in managing pediatric dysfunctional voiding.
  • This integrated approach objectively and significantly improves voiding patterns, reduces incontinence, and lowers infection rates in affected children.
Abstract

Keywords:
Biofeedback, PsychologyChildUrinary Tract Infections

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