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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.
Insights
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.
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.
- 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.
Abstract:
We studied 35 children with voiding dysfunction and detrusor-sphincter incoordination. More than 90 per cent of these patients had a history of repeat urinary tract infections, and medication and surgical treatment of the voiding dysfunction had failed. Of the patients 22 (63 per cent) experienced significant improvement or resolution of the voiding dysfunction when biofeedback was used to teach normal bladder sphincter coordination as part of the over-all treatment regimen. A review of our experience with these patients indicates that with proper patient selection an even higher rate of success may be possible.