Complementary and Integrative Management of Pediatric Lower Urinary Tract Dysfunction Implemented within an Interprofessional Clinic

Area of Science:

• Pediatric Urology
• Functional Disorders
• Integrative Medicine

Background:

• Lower urinary tract dysfunction (LUTD) in children is common, multifactorial, and often linked to bowel dysfunction and behavioral issues.
• Current management often requires a multidisciplinary approach to address the complex needs of affected children.

Purpose of the Study:

• To outline recommendations for the integrative management of pediatric LUTD.
• To discuss a novel interprofessional clinic model for holistic patient care.

Main Methods:

• Review of existing literature on integrative therapies for pediatric LUTD.
• Description of a newly established interprofessional clinic integrating various therapeutic modalities.
• Focus on movement therapies including diaphragmatic breathing, relaxation, and pelvic floor muscle training.

Main Results:

• Integrative management combining bladder/bowel habit optimization, behavioral support, and pelvic floor rehabilitation shows promise.
• Mind-body movement therapies are crucial for enhancing pelvic floor function and promoting long-term symptom improvement.
• The interprofessional clinic model facilitates a coordinated, holistic care plan for children with complex needs.

Conclusions:

• A comprehensive, integrative approach is recommended for managing pediatric lower urinary tract dysfunction.
• Movement therapies play a key role in improving pelvic floor function and overall treatment outcomes.
• Further research is needed to validate these integrative treatment models and enhance provider education.