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• W4246018190 abstract "Purpose To compare the treatment outcome of two urotherapy programs in children with dysfunctional voiding (DV) through analysing the clinical manifestations and uroflowmetry parameters. Material and Methods Eighty-six children, mean age 7.1±2.5 years, unimproved by previous therapies, were randomly divided into two groups (group A and group B). Children in both groups were educated about the importance of regular voiding and hydratation, and about the apropriate posture during voiding. Simple voiding instructions were provided. In group A pelvic floor muscle rehabilitation was additionally assigned to children. Constipation and recurrent urinary tract infections (UTIs) were treated in both groups. Selected children from both groups received pharmacotherapy (anticholinergics or desmopressin). Uroflowmetry with electromyography of the pelvic floor and ultrasound residual urine volumes were obtained before and at the end of the 12-month treatment period. Results After one year of therapy urinary incontinence and nocturnal enuresis were cured in a significantly larger number of children in group A than in group B (P<0.001; P<0.05). Although more children with UTIs were cured in group A, the difference was not statistically significant compared to group B. There was a significant recovery constipation-wise in both groups. Post-treatment uroflowmetry parameters such as average flow rate, peak flow rate, flow time, residual urine and curve pattern were markedly improved only in group A. Conclusions Pelvic floor rehabilitation is necessary in the majority of children with DV for the purpose of curing urinary incontinence, nocturnal enuresis, constipation and UTIs. Furthermore, regularly controlled program including pelvic floor exercises leads to normalization of uroflowmetry parameters and curve type. To compare the treatment outcome of two urotherapy programs in children with dysfunctional voiding (DV) through analysing the clinical manifestations and uroflowmetry parameters. Eighty-six children, mean age 7.1±2.5 years, unimproved by previous therapies, were randomly divided into two groups (group A and group B). Children in both groups were educated about the importance of regular voiding and hydratation, and about the apropriate posture during voiding. Simple voiding instructions were provided. In group A pelvic floor muscle rehabilitation was additionally assigned to children. Constipation and recurrent urinary tract infections (UTIs) were treated in both groups. Selected children from both groups received pharmacotherapy (anticholinergics or desmopressin). Uroflowmetry with electromyography of the pelvic floor and ultrasound residual urine volumes were obtained before and at the end of the 12-month treatment period. After one year of therapy urinary incontinence and nocturnal enuresis were cured in a significantly larger number of children in group A than in group B (P<0.001; P<0.05). Although more children with UTIs were cured in group A, the difference was not statistically significant compared to group B. There was a significant recovery constipation-wise in both groups. Post-treatment uroflowmetry parameters such as average flow rate, peak flow rate, flow time, residual urine and curve pattern were markedly improved only in group A. Pelvic floor rehabilitation is necessary in the majority of children with DV for the purpose of curing urinary incontinence, nocturnal enuresis, constipation and UTIs. Furthermore, regularly controlled program including pelvic floor exercises leads to normalization of uroflowmetry parameters and curve type." @default.
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• W4246018190 date "2010-04-01" @default.
• W4246018190 modified "2023-10-16" @default.
• W4246018190 title "The Role of Pelvic Floor Rehabilitation in the Treatment of Children with Dysfunctional Voiding" @default.
• W4246018190 doi "https://doi.org/10.1016/j.jpurol.2010.02.189" @default.
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