Introduction. Bladder and bowel dysfunction describes a large spectrum of
lower urinary tract symptoms along with fecal elimination issues. The aim of
the study was to analyze the effects of biofeedback treatment in children
with lower urinary tract symptoms. Material and Methods. A prospective study
analyzed the effects of biofeedback treatment conducted in children with
lower urinary tract symptoms. Questionnaires and voiding diaries were
collected prior to the treatment. The patients were followed for two weeks
on daily basis. After the completion of the treatment, the data from voiding
diaries and questionnaires were analyzed. Results. A total of 18 children
were referred for biofeedback treatment. Seven patients had an overactive
bladder. seven had isolated dysfunctional voiding, and in the third group
three had difficulties starting to void and one had daily incontinence with
dysfunctional voiding. A total of 14 patients presented with improvement of
symptoms. The analyzed data showed no measurable improvement in one patient,
even though he reported a personal feeling of improvement. Three patients
without positive effects of the therapy were immature and non-cooperative.
In six out of seven patients with overactive bladder with urine leakage, the
symptom disappeared by the end of the treatment. Conclusion. Biofeedback is
a very useful tool in the treatment of lower urinary tract symptoms in
pediatric population. Although the main indication for initiating this
therapy is dysfunctional voiding, the study showed an improvement of
symptoms in patients with overactive bladder as well.
Development and validation of the Chinese Overactive Bladder Symptom Score for assessing overactive bladder syndrome in a RESORT study
