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Is urotherapy alone as effective as a combination of urotherapy and biofeedback in children with dysfunctional voiding?
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...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Sociedade Brasileira de Urologia
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6237517/ https://www.ncbi.nlm.nih.gov/pubmed/30130020 http://dx.doi.org/10.1590/S1677-5538.IBJU.2018.0194 |
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author | Altunkol, Adem Abat, Deniz Sener, Nevzat Can Gulum, Mehmet Ciftci, Halil Savas, Murat Yeni, Ercan |
author_facet | Altunkol, Adem Abat, Deniz Sener, Nevzat Can Gulum, Mehmet Ciftci, Halil Savas, Murat Yeni, Ercan |
author_sort | Altunkol, Adem |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-6237517 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Sociedade Brasileira de Urologia |
record_format | MEDLINE/PubMed |
spelling | pubmed-62375172018-11-19 Is urotherapy alone as effective as a combination of urotherapy and biofeedback in children with dysfunctional voiding? Altunkol, Adem Abat, Deniz Sener, Nevzat Can Gulum, Mehmet Ciftci, Halil Savas, Murat Yeni, Ercan Int Braz J Urol Original Article 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. Sociedade Brasileira de Urologia 2018 /pmc/articles/PMC6237517/ /pubmed/30130020 http://dx.doi.org/10.1590/S1677-5538.IBJU.2018.0194 Text en https://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 Altunkol, Adem Abat, Deniz Sener, Nevzat Can Gulum, Mehmet Ciftci, Halil Savas, Murat Yeni, Ercan Is urotherapy alone as effective as a combination of urotherapy and biofeedback in children with dysfunctional voiding? |
title | Is urotherapy alone as effective as a combination of urotherapy and biofeedback in children with dysfunctional voiding? |
title_full | Is urotherapy alone as effective as a combination of urotherapy and biofeedback in children with dysfunctional voiding? |
title_fullStr | Is urotherapy alone as effective as a combination of urotherapy and biofeedback in children with dysfunctional voiding? |
title_full_unstemmed | Is urotherapy alone as effective as a combination of urotherapy and biofeedback in children with dysfunctional voiding? |
title_short | Is urotherapy alone as effective as a combination of urotherapy and biofeedback in children with dysfunctional voiding? |
title_sort | is urotherapy alone as effective as a combination of urotherapy and biofeedback in children with dysfunctional voiding? |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6237517/ https://www.ncbi.nlm.nih.gov/pubmed/30130020 http://dx.doi.org/10.1590/S1677-5538.IBJU.2018.0194 |
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