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Comparative, prospective, and randomized study between urotherapy and the pharmacological treatment of children with urinary incontinence

OBJECTIVE: To verify and compare the results of behavioral modification plus pelvic floor muscle training and behavioral modifications plus oxybutynin chloride in children with nonmonosymptomatic enuresis. METHODS: A total of 47 children were randomized using opaque and sealed envelopes sequentially...

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Autores principales: Campos, Renata Martins, Gugliotta, Antonio, Ikari, Osamu, Perissinoto, Maria Carolina, Lúcio, Adélia Correia, Miyaoka, Ricardo, D'Ancona, Carlos Arturo Levi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Instituto Israelita de Ensino e Pesquisa Albert Einstein 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4872895/
https://www.ncbi.nlm.nih.gov/pubmed/23843062
http://dx.doi.org/10.1590/S1679-45082013000200012
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author Campos, Renata Martins
Gugliotta, Antonio
Ikari, Osamu
Perissinoto, Maria Carolina
Lúcio, Adélia Correia
Miyaoka, Ricardo
D'Ancona, Carlos Arturo Levi
author_facet Campos, Renata Martins
Gugliotta, Antonio
Ikari, Osamu
Perissinoto, Maria Carolina
Lúcio, Adélia Correia
Miyaoka, Ricardo
D'Ancona, Carlos Arturo Levi
author_sort Campos, Renata Martins
collection PubMed
description OBJECTIVE: To verify and compare the results of behavioral modification plus pelvic floor muscle training and behavioral modifications plus oxybutynin chloride in children with nonmonosymptomatic enuresis. METHODS: A total of 47 children were randomized using opaque and sealed envelopes sequentially numbered. Group I was composed of 21 children who underwent antimuscarinic treatment (oxybutynin), and Group II was composed of 26 patients who underwent pelvic floor muscle training. Both groups were instructed as to behavioral modifications. RESULTS: The voiding diary results were compared each month between Groups I and II. In the first month of treatment, children in Group I presented 12.2 dry nights, 13.4 in the second month, and 15.9 in the last month. In Group II, the results were: 14.9 dry nights in the first month, 20.8 dry nights in the second and 24.0 dry nights in the last month. There was a significant difference between the groups in second and third months. CONCLUSION: Pelvic floor exercises associated with behavioral changes were more effective than pharmacological treatment in children with urinary incontinence.
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spelling pubmed-48728952016-08-10 Comparative, prospective, and randomized study between urotherapy and the pharmacological treatment of children with urinary incontinence Campos, Renata Martins Gugliotta, Antonio Ikari, Osamu Perissinoto, Maria Carolina Lúcio, Adélia Correia Miyaoka, Ricardo D'Ancona, Carlos Arturo Levi Einstein (Sao Paulo) Original Article OBJECTIVE: To verify and compare the results of behavioral modification plus pelvic floor muscle training and behavioral modifications plus oxybutynin chloride in children with nonmonosymptomatic enuresis. METHODS: A total of 47 children were randomized using opaque and sealed envelopes sequentially numbered. Group I was composed of 21 children who underwent antimuscarinic treatment (oxybutynin), and Group II was composed of 26 patients who underwent pelvic floor muscle training. Both groups were instructed as to behavioral modifications. RESULTS: The voiding diary results were compared each month between Groups I and II. In the first month of treatment, children in Group I presented 12.2 dry nights, 13.4 in the second month, and 15.9 in the last month. In Group II, the results were: 14.9 dry nights in the first month, 20.8 dry nights in the second and 24.0 dry nights in the last month. There was a significant difference between the groups in second and third months. CONCLUSION: Pelvic floor exercises associated with behavioral changes were more effective than pharmacological treatment in children with urinary incontinence. Instituto Israelita de Ensino e Pesquisa Albert Einstein 2013 /pmc/articles/PMC4872895/ /pubmed/23843062 http://dx.doi.org/10.1590/S1679-45082013000200012 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Campos, Renata Martins
Gugliotta, Antonio
Ikari, Osamu
Perissinoto, Maria Carolina
Lúcio, Adélia Correia
Miyaoka, Ricardo
D'Ancona, Carlos Arturo Levi
Comparative, prospective, and randomized study between urotherapy and the pharmacological treatment of children with urinary incontinence
title Comparative, prospective, and randomized study between urotherapy and the pharmacological treatment of children with urinary incontinence
title_full Comparative, prospective, and randomized study between urotherapy and the pharmacological treatment of children with urinary incontinence
title_fullStr Comparative, prospective, and randomized study between urotherapy and the pharmacological treatment of children with urinary incontinence
title_full_unstemmed Comparative, prospective, and randomized study between urotherapy and the pharmacological treatment of children with urinary incontinence
title_short Comparative, prospective, and randomized study between urotherapy and the pharmacological treatment of children with urinary incontinence
title_sort comparative, prospective, and randomized study between urotherapy and the pharmacological treatment of children with urinary incontinence
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4872895/
https://www.ncbi.nlm.nih.gov/pubmed/23843062
http://dx.doi.org/10.1590/S1679-45082013000200012
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