Bladder control training in girls with lower urinary tract dysfunction

Abstract

Combination of standard and biofeedback BCT improved dysfunctional elimination syndrome and decreased UTI with discontinuation of antibacterial prophylaxis and/or anticholinergic/alpha-blockers in the majority of the patients. Better training results are expected in patients with higher bladder wall thickness as well as in those with vesicoureteral reflux, while presence of nocturnal enuresis may be a negative predictor of the training effect.

Is urotherapy alone as effective as a combination of urotherapy and biofeedback in children with dysfunctional voiding?

“…Complete recovery was obtained in 17 (37.7%) patients after the urotherapy plus biofeedback combination, while no patients showed complete recovery (0%) after standard urotherapy. Patients with complete recovery were symptom free after 6.82 ± 0.88 ( 6 – 9 ) sessions of biofeedback. Patients without complete recovery received 10 biofeedback sessions.…”

“…Standard urotherapy and / or biofeedback therapy have been used among the dysfunctional voiding treatment modalities ( 1 , 2 , 5 , 6 ). Standard urotherapy increases pelvic floor muscle function and the awareness of relaxation in children with DV; it also promotes the relaxation of the lower abdominal muscles (transversus and obliquus internus abdominis) ( 13 ).…”

“…Peco - Antic et al reported that the combined standard urotherapy plus biofeedback in girls with lower urinary system dysfunction reduced urinary tract infections and constipation frequency and improved urinary incontinence ( 6 ). Similarly, another study by Kibar and colleagues reported a significant improvement in outcomes in children with DV using combined urotherapy plus biofeedback compared with standard urotherapy ( 2 ).…”

“…Biofeedback is also a nonpharmacological and non - surgical treatment. Biofeedback is defined as bladder training and rehabilitation ( 2 , 5 , 6 ). Maizels et al first described biofeedback in 1979, and McKenna et al first described animated biofeedback in 1999 ( 7 ).…”

Effects of percutaneous posterior tibial nerve stimulation on voiding dysfunctions in cerebral palsy: A case report

“…Physiotherapy treatments including pelvic floor muscle training [6], biofeedback [7], posterior tibial nerve stimulation, interferential, para sacral, suprapubic, anogenital and intra anal electrical stimulation [4]. The posterior tibial nerve is a mixed nerve containing (L5-S3) fibers, originating from the same spinal segments as the parasympathetic innervations to the bladder [5].…”