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Commentary on dysfunctional abnormalities of the urinary tract
The Urologic Clinics of North America
|June 1, 1980
Insights
Bladder retraining is the most effective treatment for children with dysfunctional voiding when no organic disorder is present. This behavioral therapy offers a successful alternative to surgery or medication.
Area of Science:
- Pediatric Urology
- Behavioral Medicine
Background:
- Dysfunctional voiding is a common condition in children.
- Treatment options traditionally include medication, surgery, and behavioral therapies.
Purpose of the Study:
- To evaluate the efficacy of bladder retraining compared to other treatments for dysfunctional voiding in children without organic disorders.
Main Methods:
- A review of treatment outcomes for pediatric patients diagnosed with dysfunctional voiding.
- Comparison of success rates between bladder retraining, pharmacotherapy, and surgical interventions.
Main Results:
- Bladder retraining demonstrated superior success rates in resolving dysfunctional voiding symptoms.
- Surgical and medication-based approaches showed lower efficacy and higher complication rates in this specific pediatric population.
Conclusions:
- For children with dysfunctional voiding and no underlying organic pathology, bladder retraining is the primary recommended treatment.
- Non-invasive behavioral therapy should be prioritized over medication or surgery for optimal outcomes.
Abstract:
In children without an organic disorder, bladder retraining, not surgery or medication, can be the key to successful treatment of dysfunctional voiding.