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Related Experiment Videos

Biofeedback training for children with bladder sphincter incoordination.

G R Jerkins1, H N Noe, W R Vaughn

  • 1Department of Pediatric Urology, University of Tennessee, Memphis.

The Journal of Urology
|October 1, 1987
PubMed
Summary

Biofeedback therapy effectively treated voiding dysfunction in children with detrusor-sphincter incoordination, especially when other treatments failed. This approach improved bladder sphincter coordination, offering a promising solution for recurrent urinary tract infections.

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Area of Science:

  • Pediatric Urology
  • Neuro-urology
  • Rehabilitation Medicine

Background:

  • Voiding dysfunction and detrusor-sphincter incoordination are common in children.
  • Many patients have a history of recurrent urinary tract infections.
  • Previous medical and surgical treatments for voiding dysfunction have often failed.

Purpose of the Study:

  • To evaluate the efficacy of biofeedback therapy in treating pediatric voiding dysfunction.
  • To assess the impact of biofeedback on bladder sphincter coordination.
  • To determine the potential for improved success rates with patient selection.

Main Methods:

  • A study was conducted on 35 children diagnosed with voiding dysfunction and detrusor-sphincter incoordination.
  • Biofeedback was utilized as part of the overall treatment regimen to teach normal bladder sphincter coordination.

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  • Patient outcomes were monitored for improvement or resolution of voiding dysfunction.

    • Main Results:

    • Over 90% of the studied children had a history of repeat urinary tract infections.
    • Medication and surgical treatments had previously failed for these patients.
    • Biofeedback therapy led to significant improvement or resolution in 63% (22 out of 35) of the children.

    Conclusions:

    • Biofeedback therapy is an effective treatment for children with voiding dysfunction and detrusor-sphincter incoordination.
    • The technique shows promise for patients who have not responded to conventional treatments.
    • Proper patient selection may further enhance the success rate of biofeedback therapy.