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Biofeedback Therapy in the Treatment of Children With Dysfunctional Voiding: Does the Presence of Overactive Bladder

Furkan Adem Canbaz1, Gonca Gerçel2, Gülce Kadakal Köken1

  • 1Department of Pediatric Surgery, Sancaktepe Sehit Prof. Dr. İlhan Varank Training and Research Hospital, Istanbul, Turkey.

International Journal of Urology : Official Journal of the Japanese Urological Association
|July 1, 2025
PubMed

Insights

Biofeedback therapy is effective for treating dysfunctional voiding (DV) in children. The presence of overactive bladder (OAB) does not significantly affect treatment success rates.

Area of Science:

  • Pediatric Urology
  • Behavioral Therapy

Background:

  • Dysfunctional voiding (DV) is a common pediatric urological condition.
  • Overactive bladder (OAB) can coexist with DV, potentially complicating treatment.
  • Biofeedback therapy offers a non-invasive approach to managing voiding dysfunction.

Purpose of the Study:

  • To evaluate the efficacy of biofeedback therapy in treating pediatric dysfunctional voiding (DV).
  • To determine if the presence of overactive bladder (OAB) influences the outcomes of biofeedback therapy for DV.

Main Methods:

  • Retrospective analysis of 32 children treated with biofeedback for DV.
  • Patients were grouped based on the presence (Group 1) or absence (Group 2) of OAB.
  • Outcomes assessed included symptom scores (DVSS), uroflowmetry (UF) parameters, and electromyography (EMG) activity, evaluated against International Children's Continence Society recommendations.

Main Results:

  • Overall complete and partial response rates were 65.6% and 21.9%, respectively.
  • Similar success rates were observed between children with (60.0% complete response) and without (70.6% complete response) OAB.
  • Significant reductions in DVSS were noted in both groups, with EMG cessation in 84.4% of patients. Postvoid residual volume improved significantly only in the group without OAB.

Conclusions:

  • Biofeedback therapy is an effective treatment for dysfunctional voiding (DV) in children.
  • The presence of overactive bladder (OAB) does not appear to negatively impact the overall success of biofeedback therapy for DV.
  • Further research may explore specific OAB management strategies in conjunction with biofeedback for DV.
Abstract

Keywords:
biofeedbackdysfunctional voidingoveractive bladderuroflowmetry

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