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Biofeedback therapy for children with dysfunctional voiding

A J Combs1, A D Glassberg, D Gerdes

  • 1Division of Pediatric Urology, State University of New York, Health Science Center at Brooklyn, USA.

Urology
|August 11, 1998
PubMed
Summary
This summary is machine-generated.

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Biofeedback therapy effectively treats dysfunctional voiding (DV) in children by teaching pelvic floor relaxation. This accessible method shows sustained positive results, making it a practical treatment option.

Area of Science:

  • Pediatric Urology
  • Behavioral Medicine

Background:

  • Dysfunctional voiding (DV) in children often involves inadequate pelvic floor relaxation during urination.
  • Biofeedback therapy is a recognized treatment but lacks widely available, standardized methodologies.

Purpose of the Study:

  • To present a practical, reproducible biofeedback methodology for treating children with DV.
  • To report the indications and outcomes of this biofeedback program.

Main Methods:

  • Twenty-one children with DV refractory to standard treatments were enrolled.
  • Therapy involved age-appropriate education, demonstrations, and real-time pelvic floor electromyography monitoring during uroflow studies.
  • Weekly sessions were conducted until consistent pelvic floor relaxation was achieved.

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Main Results:

  • 81% of patients (17/21) achieved an excellent clinical and urodynamic response.
  • The average number of sessions for a consistent urodynamic response was 3.7.
  • Sustained positive results were observed with an average follow-up of 34 months.

Conclusions:

  • Biofeedback therapy is an effective treatment for pediatric dysfunctional voiding characterized by poor pelvic floor relaxation.
  • Despite initial intensive requirements, the therapy provides sustained positive outcomes efficiently.