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Does biofeedback therapy improve quality of life in children with lower urinary tract dysfunction: parents'
Burak Kopru1, Giray Ergin1, Turgay Ebiloglu2
1Department of Urology, Koru Ankara Hospital, Ankara, Turkey.
Insights
Biofeedback therapy effectively improved quality of life for families dealing with lower urinary tract dysfunction (LUTD) in children. Success was greater when families experienced less severe impacts from LUTD.
Area of Science:
- Pediatric Urology
- Behavioral Therapy
- Quality of Life Research
Background:
- Lower urinary tract dysfunction (LUTD) significantly impacts children's and families' quality of life (QoL) through incontinence.
- Standard urotherapy is the first-line treatment, with biofeedback therapy reserved for cases refractory to initial treatment.
Purpose of the Study:
- To evaluate the success of biofeedback therapy in pediatric patients with LUTD.
- To assess treatment outcomes based on parental perception of QoL impact.
Main Methods:
- Retrospective analysis of 281 pediatric patients with LUTD treated with biofeedback after standard urotherapy failure.
- Dysfunctional voiding symptom scores (DVSS) and QoL tools were administered before and after a six-month biofeedback treatment period.
Main Results:
- Biofeedback therapy demonstrated a significant positive impact on the daily lives of families affected by pediatric LUTD (P=0.001).
- A higher success rate of biofeedback was observed in families reporting less severe effects of LUTD.
- Treatment efficacy was less pronounced in families experiencing moderate to serious impacts from LUTD.
Conclusions:
- Biofeedback therapy is a non-invasive and effective treatment for pediatric LUTD.
- It significantly improves QoL for families, particularly those less severely affected by the condition.
Introduction:
Lower urinary tract dysfunction (LUTD) is a situation that often disrupts the quality of life (QoL) of both the child and the family with daytime and nighttime incontinence. Although the first-line treatment option for children with LUTD is standard urotherapy, biofeedback therapy can be performed in children in which standard urotherapy failed.
Objective:
We studied the biofeedback success in children with LUTD according to parents' expressions.
Methods:
We retrospectively analyzed our hospital records of children who were diagnosed with LUTD between 2005 and 2017. In total, 281 patients, refractory to standard urotherapy were included into the study and directed to biofeedback treatment. Their parents completed the dysfunctional voiding symptom scores (DVSS) before and after biofeedback therapy.
Results:
At the end of the six-month follow-up period, all voiding disorders and voiding patterns were evaluated. According to DVSS, QoL tools before biofeedback treatment 48 (17%) parents appraised that LUTD caused no effect in their children's daily life, 104 (37.8%) expressed little effect, 89 (31%) moderate effect, and 40 (14.2%) serious effect. And, 120 (43%) parents expressed no effect, 95 (34%) little effect, 51 (18%) moderate effect, and 15 (5%) serious effect (P = 0.001) after biofeedback therapy. Biofeedback therapy affected positively the daily life of LUTD's family. The less serious the effect of LUTD on these children's family, the more success rate of biofeedback therapy. The effect of biofeedback therapy was less successful in moderated and serious affected families.
Conclusions:
Biofeedback treatment is a non-invasive and effective treatment modality for improving the QoL for LUTD families who were less suffered from LUTD.
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