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LONG-TERM EFFICACY OF SIMPLE BEHAVIORAL THERAPY FOR DAYTIME WETTING IN CHILDREN

2000; Lippincott Williams & Wilkins; Volume: 164; Issue: 3 Part 1 Linguagem: Inglês

10.1016/s0022-5347(05)67313-2

1527-3792

John S. Wiener, Mischca T. Scales, Jason Hampton, Lowell R. King, Richard S. Surwit, Christopher L. Edwards,

Pelvic floor disorders treatments

No AccessJournal of UrologyPEDIATRIC UROLOGY1 Sep 2000LONG-TERM EFFICACY OF SIMPLE BEHAVIORAL THERAPY FOR DAYTIME WETTING IN CHILDREN JOHN S. WIENER, MISCHCA T. SCALES, JASON HAMPTON, LOWELL R. KING, RICHARD SURWIT, and CHRISTOPHER L. EDWARDS JOHN S. WIENERJOHN S. WIENER More articles by this author , MISCHCA T. SCALESMISCHCA T. SCALES More articles by this author , JASON HAMPTONJASON HAMPTON More articles by this author , LOWELL R. KINGLOWELL R. KING More articles by this author , RICHARD SURWITRICHARD SURWIT More articles by this author , and CHRISTOPHER L. EDWARDSCHRISTOPHER L. EDWARDS More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)67313-2AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Behavioral therapy has proved benefit for children with daytime wetting but most studies have used biofeedback techniques and provide no long-term assessment of results. We previously reported similar results using simple behavioral therapy without biofeedback. We report the long-term efficacy of behavioral therapy for daytime wetting. Materials and Methods: Our program of behavioral therapy included timed voiding, modification of fluid intake, positive reinforcement techniques and pelvic floor (Kegel) exercises to promote pelvic floor strengthening and relaxation. Questionnaires to assess therapeutic efficacy were mailed to patients who had completed therapy more than 1 year previously. Results: A total of 48 patients responded. Mean ages at the time of the initial clinic visit and questionnaire were 8.2 and 12.9 years, respectively. Improvement in symptoms was noted in approximately 74% of the cases during the first year following therapy. At a mean of 4.7 years after treatment 59.4% of the patients had improved daytime urinary control, 51.1% improved daytime urinary frequency and 45.6% improved daytime urinary urgency. The frequency of urinary tract infections decreased in 56.4% of the cases. Measures of psychological well-being were also noted to be improved in a majority of patients. A total of 77.3% of the patients stated that they would recommend the program to others. Conclusions: Simple behavioral therapy without biofeedback techniques is an effective and durable first line therapy for children with daytime wetting. References 1 : Urodynamic biofeedback: a new approach to treat vesical sphincter dyssynergia. J Urol1979; 122: 205. 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Google Scholar From the Departments of Pediatrics and Surgery, Division of Urologic Surgery, Department of Psychiatry and Behavioral Medicine, Duke University Medical Center, Durham, North Carolina, and Division of Urology, Department of Surgery, University of New Mexico School of Medicine, Albuquerque, New Mexico© 2000 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byKo L, Chuang K, Champeau A, Allen I and Copp H (2016) Lower Urinary Tract Dysfunction in Elementary School Children: Results of a Cross-Sectional Teacher SurveyJournal of Urology, VOL. 195, NO. 4 Part 2, (1232-1238), Online publication date: 1-Apr-2016.Brownrigg N, Pemberton J, Jegatheeswaran K, DeMaria J and Braga L (2014) A Pilot Randomized Controlled Trial Evaluating the Effectiveness of Group vs Individual Urotherapy in Decreasing Symptoms Associated with Bladder-Bowel DysfunctionJournal of Urology, VOL. 193, NO. 4, (1347-1352), Online publication date: 1-Apr-2015.Barroso U, Viterbo W, Bittencourt J, Farias T and Lordêlo P (2013) Posterior Tibial Nerve Stimulation vs Parasacral Transcutaneous Neuromodulation for Overactive Bladder in ChildrenJournal of Urology, VOL. 190, NO. 2, (673-677), Online publication date: 1-Aug-2013. 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Volume 164Issue 3 Part 1September 2000Page: 786-790 Advertisement Copyright & Permissions© 2000 by American Urological Association, Inc.Keywordsurinary incontinencebladderbehavior therapyurinary tract infectionsexercisesMetricsAuthor Information JOHN S. WIENER More articles by this author MISCHCA T. SCALES More articles by this author JASON HAMPTON More articles by this author LOWELL R. KING More articles by this author RICHARD SURWIT More articles by this author CHRISTOPHER L. EDWARDS More articles by this author Expand All Advertisement PDF downloadLoading ...