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Rehabilitation of the dysfunctional bladder in children: method and 3-year followup
A L Hellström1, K Hjälmås, U Jodal
1Department of Pediatric Surgery, University of Göteborg, Sweden.
Insights
A new rehabilitation program combining bladder regimens and biofeedback effectively normalized voiding patterns in children with functional bladder disturbances. Many children achieved complete continence and normal bladder function within three years of treatment.
Area of Science:
- Pediatric Urology
- Rehabilitation Medicine
- Child Health
Background:
- Functional, nonneurogenic bladder disturbances are common in children.
- These conditions can significantly impact a child's quality of life and social development.
- Existing treatments may not be sufficient for all pediatric patients.
Purpose of the Study:
- To introduce and evaluate a novel rehabilitation program for children with functional, nonneurogenic bladder disturbance.
- To assess the efficacy of a bladder regimen supplemented with biofeedback training.
Main Methods:
- Development of a comprehensive bladder rehabilitation program.
- Inclusion of biofeedback training as an adjunct therapy when necessary.
- Prospective evaluation of the first 70 children (64 girls, 6 boys) undergoing the program.
Main Results:
- After 1 year, 36 children showed normalized voiding patterns.
- After 3 years, 53 children achieved complete continence, normal voiding frequency, and complete bladder emptying.
- The program demonstrated success across various urodynamic diagnoses and in children as young as 4 years old.
Conclusions:
- The developed rehabilitation program is effective in treating functional, nonneurogenic bladder disturbances in children.
- The combination of bladder regimen and biofeedback offers a viable therapeutic approach.
- This program provides a scalable and adaptable solution for pediatric bladder dysfunction.
Abstract:
A rehabilitation program has been developed for children with functional, nonneurogenic bladder disturbance. The basis for the program is a bladder regimen supplemented by biofeedback training if needed. Results in the first 70 children (64 girls and 6 boys) are presented. After 1 and 3 years 36 and 53 children, respectively, had completely normalized voiding patterns, that is they were continent, had no urgency, voided 3 to 6 times a day and emptied the bladder completely in 1 portion with a normal flow rate. The training program is applicable in children with varying urodynamic diagnoses and it has been used in children as young as 4 years old.
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