Biofeedback as a first-line treatment for overactive bladder syndrome refractory to standard urotherapy in children

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• 作者：Turgay Ebiloglu^a ; Engin Kaya^b ; Burak Kö ; prü ; ^c ; ^{dr_burak83@yahoo.com" class="auth_mail" title="E-mail the corresponding author} ; Bahadır Topuz^b ; Hasan Cem Irkilata^b ; Yusuf Kibar^b
• 关键词：Overactive bladder syndrome ; Children ; Treatment ; Biofeedback
• 刊名：Journal of Pediatric Urology
• 出版年：2016
• 出版时间：October 2016
• 年：2016
• 卷：12
• 期：5
• 页码：290.e1-290.e7
• 全文大小：409 K

文摘

Overactive 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.

Objectives

The 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 design

Between 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.

Results

Seventy-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.

Discussion

Biofeedback can be thought of as the first-line treatment option when standard urotherapy fails in children with OAB.