Is urotherapy alone as effective as a combination of urotherapy and biofeedback in children with dysfunctional voiding?
| Autor: | Nevzat Can Sener, Murat Savas, Deniz Abat, Ercan Yeni, Halil Ciftci, Mehmet Gulum, Adem Altunkol |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Combination therapy Urology medicine.medical_treatment Urinary system Dysfunctional voiding 030232 urology & nephrology Biofeedback Urinary incontinence Electromyography lcsh:RC870-923 03 medical and health sciences 0302 clinical medicine medicine Psychology Humans Child medicine.diagnostic_test business.industry Urethral sphincter Residual urine Biofeedback Psychology lcsh:Diseases of the genitourinary system. Urology Urination Disorders Urodynamics Treatment Outcome Child Preschool 030220 oncology & carcinogenesis Urinary Tract Infections Original Article Female medicine.symptom business |
| Zdroj: | International Brazilian Journal of Urology : official journal of the Brazilian Society of Urology International Brazilian Journal of Urology, Vol 44, Iss 5, Pp 987-995 International braz j urol, Volume: 44, Issue: 5, Pages: 987-995, Published: OCT 2018 International braz j urol v.44 n.5 2018 International Braz J Urol Sociedade Brasileira de Urologia (SBU) instacron:SBU |
| ISSN: | 1677-6119 1677-5538 |
| DOI: | 10.1590/s1677-5538.ibju.2018.0194 |
| Popis: | Objective: To compare standard urotherapy with a combination of urotherapy and biofeedback sessions and to determine the changes that these therapies promote in children with dysfunctional voiding. Patients and Methods: The data of 45 patients who participated in the study from January 2010 to March 2013 were evaluated. All patients underwent urinary system ultrasonography to determine post-void residual urine volumes and urinary system anomalies. All patients were diagnosed using uroflowmetry - electromyography (EMG). The flow pattern, maximum flow rate, and urethral sphincter activity were evaluated in all patients using uroflowmetry - EMG. Each patient underwent standard urotherapy, and the results were recorded. Subsequently, biofeedback sessions were added for all patients, and the changes in the results were recorded and statistically compared. Results: A total of forty - five patients were included, of which 34 were female and 11 were male and the average age of the patients was 8.4 ± 2.44 years (range: 5 - 15 years). After the standard urotherapy plus biofeedback sessions, the post-void residual urine volumes, incontinence rates and infection rates of patients were significantly lower than those with the standard urotherapy (p < 0.05). A statistically significant improvement in voiding symptoms was observed after the addition of biofeedback sessions to the standard urotherapy compared with the standard urotherapy alone (p < 0.05). Conclusions: Our study showed that a combination of urotherapy and biofeedback was more effective in decreasing urinary incontinence rates, infection rates and post - void residual urine volumes in children with dysfunctional voiding than standard urotherapy alone, and it also showed that this combination therapy corrected voiding patterns significantly and objectively. |
| Databáze: | OpenAIRE |
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