Abstract
Amaç: Alt üriner sistem disfonksiyonu geniş spektrumlu bir tanıdır ve Uluslarararası Çocuk İşeme Topluluğuna göre aşırı aktif mesane, işemeyi erteleme, az aktif mesane, seyrek işeme, vajinal reflü, mesane boynu disfonksiyonu ve kıkırdama inkontinansını içerir.
Biyofeedback kolay uygulanabilen, girişimsel olmayan ve normal mesane ve barsak fonksiyonlarının sağlanmasında pelvik duvar kaslarını aktive etmek için kullanılan bir tedavi yöntemidir. Bu çalışmada alt üriner sistem disfonksiyonu olan çocuklarda biyofeedback tedavisinin etkinliğinin değerlendirilmesi amaçlanmıştır.
Gereç ve Yöntemler: Çalışmaya alt üriner sistem disfonksiyonu tanısı alan ve standart tedaviye yanıt vermeyen 29 hasta dahil edildi. Bu hastalara 8 hafta süre ile biyofeedback tedavisi uygulandı.
Bulgular: Animasyon biofeedback tedavisinden sonra 13 hastada (%44.8) gündüz, iki (%6.8) hastada gece kaçırma şikayetleri düzeldi. Kabızlığı olan 5 hastada tamamen düzelme olmasına rağmen enkoprezisi olan hastalarda düzelme olmadı. Altı hastanın (% 20.7) şikayetlerinde azalma oldu ancak tam düzelme olmadı. Biofeedback tedavisi öncesi 16.19±7.69 olan ortalama işeme bozuklukları semptom skoru, tedavi sonrası 9.52±6.4’e geriledi ve istatistiksel olarak anlamlı bir fark (p<0.001£) saptandı.
Sonuç: Çalışmamızdan elde ettiğimiz sonuçlara ve literatür taramalarına göre standart tedaviden fayda görmeyen alt üriner sistem disfonksiyonu olan çocuklarda biyofeedback tedavisi faydalı olabilir.
References
- 1. Nevéus T, Gontard A, Hoebeke P et al. The Standardization of Terminology of Lower Urinary Tract Function in Children and Adolescents: Report from the Standardization Committee of the International Children’s Continence Society. J Urol. 2006;176, 314-324.
- 2. Austin PF, Bauer SB, Bower W et al. T. The standardization of terminology of lower urinary tract function in children and adolescents: update report from the Standardization Committee of the International Children's Continence Society. J Urol. 2014;191:1863-1865.
- 3. Tremback-Ball A, Gherghel E, Hegge A, Kindig K, Marsico H, Scanlon R. The effectiveness of biofeedback therapy in managing Bladder Bowel Dysfunction in children: A systematic review. J Pediatr Rehabil Med. 2018;11:161-173.
- 4. Koenig JF, McKenna PH. Biofeedback therapy for dysfunctional voiding in children. Curr Urol Rep. 2011; 12, 382 144.
- 5. Desantis DJ, Leonard MP, Preston MA, Barrowman NJ, Guerra LA. Effectiveness of biofeedback for dysfunctional elimination syndrome in pediatrics: A systematic review. J Pediatric Urol. 2011; 7: 342-348.
- 6. Fazeli MS, Lin Y, Nikoo N, Jaggumantri S, Collet J-P, Afshar K. Biofeedback for nonneuropathic daytime voiding disorders in children: A systematic review and meta-analysis of randomized controlled trials. J Urol. 2015; 193: 274-280.
- 7. Akbal C, Genc Y, Burgu B, Özden E, Tekgül S. Dysfunctional voiding and incontinence scoring system: quantitative evaluation of incontinence symptoms in pediatric population. J Urol. 2005; 173:969-73.
- 8. McKenna PH. Current role of biofeedback for pediatric lower urinary tract symptoms. J Urol 2015; 193:14-5.
- 9. Tugtepe H, Thomas DT, Ergun R et al. Comparison of biofeedback therapy in children with treatment-refractory dysfunctional voiding and overactive bladder. Urology. 2015; 85: 900-904.
- 10. Khen-Dunlop N, Van Egroo A, Bouteiller C, Biserte J, Besson R. Biofeedback therapy in the treatment of bladder overactivity, vesico-ureteral reflux and urinary tract infection. J Pediatric Urol. 2006; 2: 424-29.
- 11. Zeng F, Chen HQ, Qi L, Zhang XY, Li Y. Comparative study of pelvic floor biofeedback training and tolterodine for treatment of detrusor after-contraction in posturination dribbling in children. J Int Med Res. 444 2012; 40: 2305-10.
- 12. Ladi-Seyedran S, Kajbafzadeh AM, Sharifi-Rad L, Shadgan B, Fan E. Management of non-neuropathic underactive bladder in children with dysfunctional voiding by animated biofeedback: A randomized clinical trial. Urology. 2015;85: 205-210.
Abstract
Objective: Lower urinary tract dysfunction is a wide clinical spectrum and according to the International Children’s Continence Society, lower urinary tract dysfunction contains overactive bladder, voiding postponement, underactive bladder, infrequent voiding, extraordinary daytime only urinary frequency, vaginal reflux, bladder neck dysfunction, and giggle incontinence.
Biofeedback is a non-invasive therapy that can be applied easily and aims to activate relevant pelvic wall muscles for normal bowel and bladder functions. This study aimed to evaluate the efficacy of biofeedback treatment in children with lower urinary tract dysfunction.
Material and Methods: Twenty-nine patients who were diagnosed with lower urinary tract dysfunction and did not respond to standard therapy were included in the study. Biofeedback therapy was applied to these patients for 8 weeks.
Results: After animation biofeedback treatment, daytime symptoms improved in 13 patients (44.8%), and nighttime enuresis improved in two (6.8%) patients. Although 5 patients with constipation completely improved, there was no improvement in patients with encopresis. There was a decrease but not a complete improvement in complaints of six patients (20.7%). Mean urinary incontinence symptom score which was 16.19±7.69 before biofeedback treatment decreased to 9.52±6.4 after the treatment, with a statistically significant difference (p<0.001).
Conclusion: It was suggested that biofeedback treatment can be considered as a suitable alternative in children with dysfunctional urination who do not respond to standard treatment.
References
- 1. Nevéus T, Gontard A, Hoebeke P et al. The Standardization of Terminology of Lower Urinary Tract Function in Children and Adolescents: Report from the Standardization Committee of the International Children’s Continence Society. J Urol. 2006;176, 314-324.
- 2. Austin PF, Bauer SB, Bower W et al. T. The standardization of terminology of lower urinary tract function in children and adolescents: update report from the Standardization Committee of the International Children's Continence Society. J Urol. 2014;191:1863-1865.
- 3. Tremback-Ball A, Gherghel E, Hegge A, Kindig K, Marsico H, Scanlon R. The effectiveness of biofeedback therapy in managing Bladder Bowel Dysfunction in children: A systematic review. J Pediatr Rehabil Med. 2018;11:161-173.
- 4. Koenig JF, McKenna PH. Biofeedback therapy for dysfunctional voiding in children. Curr Urol Rep. 2011; 12, 382 144.
- 5. Desantis DJ, Leonard MP, Preston MA, Barrowman NJ, Guerra LA. Effectiveness of biofeedback for dysfunctional elimination syndrome in pediatrics: A systematic review. J Pediatric Urol. 2011; 7: 342-348.
- 6. Fazeli MS, Lin Y, Nikoo N, Jaggumantri S, Collet J-P, Afshar K. Biofeedback for nonneuropathic daytime voiding disorders in children: A systematic review and meta-analysis of randomized controlled trials. J Urol. 2015; 193: 274-280.
- 7. Akbal C, Genc Y, Burgu B, Özden E, Tekgül S. Dysfunctional voiding and incontinence scoring system: quantitative evaluation of incontinence symptoms in pediatric population. J Urol. 2005; 173:969-73.
- 8. McKenna PH. Current role of biofeedback for pediatric lower urinary tract symptoms. J Urol 2015; 193:14-5.
- 9. Tugtepe H, Thomas DT, Ergun R et al. Comparison of biofeedback therapy in children with treatment-refractory dysfunctional voiding and overactive bladder. Urology. 2015; 85: 900-904.
- 10. Khen-Dunlop N, Van Egroo A, Bouteiller C, Biserte J, Besson R. Biofeedback therapy in the treatment of bladder overactivity, vesico-ureteral reflux and urinary tract infection. J Pediatric Urol. 2006; 2: 424-29.
- 11. Zeng F, Chen HQ, Qi L, Zhang XY, Li Y. Comparative study of pelvic floor biofeedback training and tolterodine for treatment of detrusor after-contraction in posturination dribbling in children. J Int Med Res. 444 2012; 40: 2305-10.
- 12. Ladi-Seyedran S, Kajbafzadeh AM, Sharifi-Rad L, Shadgan B, Fan E. Management of non-neuropathic underactive bladder in children with dysfunctional voiding by animated biofeedback: A randomized clinical trial. Urology. 2015;85: 205-210.
Details
| Primary Language | English |
|---|---|
| Subjects | Internal Diseases |
| Journal Section | ORIGINAL ARTICLES |
| Authors | |
| Publication Date | March 16, 2022 |
| Submission Date | January 12, 2021 |
| Published in Issue | Year 2022 Volume: 16 Issue: 2 |
The publication language of Turkish Journal of Pediatric Disease is English.
Manuscripts submitted to the Turkish Journal of Pediatric Disease will go through a double-blind peer-review process. Each submission will be reviewed by at least two external, independent peer reviewers who are experts in the field, in order to ensure an unbiased evaluation process. The editorial board will invite an external and independent editor to manage the evaluation processes of manuscripts submitted by editors or by the editorial board members of the journal. The Editor in Chief is the final authority in the decision-making process for all submissions. Articles accepted for publication in the Turkish Journal of Pediatrics are put in the order of publication, with at least 10 original articles in each issue, taking into account the acceptance dates. If the articles sent to the reviewers for evaluation are assessed as a senior for publication by the reviewers, the section editor and the editor considering all aspects (originality, high scientific quality and citation potential), it receives publication priority in addition to the articles assigned for the next issue.
The aim of the Turkish Journal of Pediatrics is to publish high-quality original research articles that will contribute to the international literature in the field of general pediatric health and diseases and its sub-branches. It also publishes editorial opinions, letters to the editor, reviews, case reports, book reviews, comments on previously published articles, meeting and conference proceedings, announcements, and biography. In addition to the field of child health and diseases, the journal also includes articles prepared in fields such as surgery, dentistry, public health, nutrition and dietetics, social services, human genetics, basic sciences, psychology, psychiatry, educational sciences, sociology and nursing, provided that they are related to this field. can be published.