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[Acupuncture reflexotherapy of neurogenic bladder dysfunction in children with enuresis]
Insights
Acupuncture effectively treated bladder instability and detrusor hyperreflexia in children with enuresis, showing detrusor-stabilizing effects. Success depends on patient factors and adherence to treatment recommendations.
Area of Science:
- Urology
- Pediatrics
- Integrative Medicine
Context:
- Enuresis is a common pediatric condition often linked to lower urinary tract dysfunction.
- Urodynamic evaluation is crucial for diagnosing bladder instability and detrusor hyperreflexia in children.
- Acupuncture is explored as a therapeutic option for pediatric lower urinary tract dysfunction.
Purpose:
- To evaluate the urodynamics of the lower urinary tract in children treated for enuresis.
- To assess the efficacy of acupuncture in managing bladder instability and detrusor hyperreflexia.
- To investigate the detrusor-stabilizing effects of acupuncture in pediatric neurogenic bladder dysfunction.
Summary:
- Urodynamic evaluation was performed on 25 children with enuresis, revealing unstable bladders in 16, with detrusor hyperreflexia being the most common diagnosis (12 patients).
- Acupuncture treatment demonstrated benefits in 17 out of 25 patients.
- Follow-up assessments indicated that acupuncture possesses detrusor-stabilizing effects, particularly in cases of neurogenic bladder dysfunction.
Impact:
- Acupuncture shows promise as a beneficial therapy for pediatric enuresis associated with urodynamic abnormalities.
- The study highlights the importance of patient-specific factors, including psychological status and treatment adherence, in determining acupuncture's success.
- Further research into the mechanisms of acupuncture's therapeutic effects in lower urinary tract dysfunction is warranted.
Abstract:
The urodynamics of the lower urinary tract was evaluated in 25 children treated for enuresis. The unstable bladder was observed in 16 patients. Twelve children with detrusor hyperreflexia comprised the largest group. Acupuncture was beneficial in 17 cases. The follow-up showed its detrusor-stabilizing effects in patients with neurogenic bladder dysfunctions. The success of the therapy is depended on the patients' mental and emotional status, concurrent abnormalities and accuracy in observing the practitioner's recommendations. The mechanisms of therapeutic effects of acupuncture are also discussed.