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Urotherapy in the treatment of children and adolescents with bladder and bowel dysfunction: a systematic review

Gisela Maria Assis1, Camilla Pinheiro Cristaldi da Silva2, Gisele Martins3

  • 1Affiliate Member in the Associação Brasileira de Estomaterapia (SOBEST), São Paulo, SP, Brazil; Universidade de Brasília (UnB), Departamento de Enfermagem, Brasília, DF, Brazil; Universidade Federal do Paraná (UFPR), Hospital de Clínicas (HC), Equipe de Estomaterapia, Curitiba, PR, Brazil.

Jornal De Pediatria
|April 23, 2019
PubMed

Insights

Urotherapy effectively reduces bladder bowel dysfunction symptoms in children and adolescents. This systematic review highlights standard urotherapy as a beneficial first-line treatment, improving uroflowmetry parameters.

Area of Science:

  • Pediatric Urology
  • Clinical Research
  • Systematic Review

Background:

  • Bladder bowel dysfunction (BBD) is a common condition in children and adolescents.
  • Urotherapy is a recognized treatment modality for BBD.
  • Evidence on specific urotherapy protocols and outcomes requires synthesis.

Purpose of the Study:

  • To systematically review and describe urotherapy protocols used in pediatric BBD.
  • To evaluate the clinical outcomes associated with urotherapy interventions.
  • To identify key components of effective urotherapy.

Main Methods:

  • Systematic review of clinical trials and quasi-experimental studies.
  • Searched multiple databases (MEDLINE, CINAHL, EMBASE, SciELO, Cochrane, PsycInfo) in June 2018.
  • Included studies from the last ten years focusing on children/adolescents with BBD and urotherapy.

Main Results:

  • Thirteen clinical trials and one quasi-experimental study were included, exhibiting moderate methodological quality.
  • Heterogeneity in samples and study design precluded meta-analysis.
  • Descriptive analysis revealed significant symptom reduction and improved uroflowmetry parameters.

Conclusions:

  • Standard urotherapy demonstrates positive outcomes for symptom reduction and uroflowmetry improvement in pediatric BBD.
  • Urotherapy is recommended as a first-line treatment for children and adolescents with BBD.
  • Further research is needed to optimize urotherapy consultation frequency, duration, and timing.
Abstract

Keywords:
Behavior therapyBladder bowel dysfunctionChildCriançaDisfunção vesical e intestinalDysfunctional elimination syndromeDysfunctional voidingMicção disfuncionalSíndrome de eliminação disfuncionalTerapia comportamentalUroterapiaUrotherapy

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