کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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5718770 | 1411257 | 2016 | 7 صفحه PDF | دانلود رایگان |
SummaryIntroductionOveractive bladder syndrome (OAB) and dysfunctional voiding (DV) are subgroups of lower urinary tract dysfunction (LUTD). Standard urotherapy is the first-line treatment option of OAB in children.ObjectivesThe aim was to investigate the use of biofeedback as a first-line treatment option in OAB refractory to standard urotherapy, and determine the factors affecting efficacy.Study designBetween 2005 and 2015, we retrospectively analyzed a total of 136 hospital records of children with OAB who had not previously used any anticholinergics and were refractory to standard urotherapy. Patients with urgency and/or urge incontinence and/or making holding maneuvers to suppress urgency were defined as having OAB symptoms, and resolution of these complaints was defined as successful biofeedback therapy.ResultsSeventy-three of 136 OAB patients' urgency recovered by biofeedback therapy with the success rate of 53% (p < 0.001). Sixty-two of 101 patients with holding maneuvers (success rate 61%) (p < 0.001), 70 of 101 patients with urgency incontinence (success rate 69%) (p < 0.001), 76 of 114 patients with daytime incontinence (success rate 66%) (p = 0.023), 87 of 97 patients with enuresis (success rate 89%) (p = 0.009), and 27 of 39 patients with dysuria (success rate 69%) (p = 0.007) recovered from their symptoms significantly. The mean lower urinary tract symptom score (LUTSS) was 16.38 and 8.18 before and after biofeedback therapies, respectively (p < 0.001) (Table). Patients without holding maneuvers (p = 0.045), daytime incontinence (p = 0.030), and enuresis (p = 0.045) had better recovery compared to the opposites.DiscussionBiofeedback can be thought of as the first-line treatment option when standard urotherapy fails in children with OAB.Table. The results of biofeedback for overactive bladder syndrome symptoms and other symptoms.Before biofeedback therapy (n)After biofeedback therapy (n)Success rate (%)pUrgency1366353%<0.001Holding maneuvers1013961%<0.001Urgency incontinence1013169%<0.001Daytime incontinence1143866%0.023Enuresis971089%0.009Dysuria391269%0.007
Journal: Journal of Pediatric Urology - Volume 12, Issue 5, October 2016, Pages 290.e1-290.e7