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Urodynamic biofeedback treatment of urinary incontinence in children with myelomeningocele

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Abstract

Eight children with myelomeningocele and chronic neurogenic urinary incontinence were provided urodynamic biofeedback training. During urodynamic biofeedback, six of the eight children demonstrated improved self-regulation of detrusor and/or sphincter functioning. However, substantial improvements in clinical symptomatology (i.e., urinary incontinence) were clearly shown by only one child. Unexpectedly, chronic neurogenic fecal incontinence was reduced in four children. Several methodological modifications are discussed which may improve clinical symptomatology and which may facilitate further urodynamic biofeedback research for these children with congenital neurogenic urinary incontinence.

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This work was supported by a grant from The Crippled Children's Guild through the Behavioral Pediatrics Program at Orthopaedic Hospital.

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Killam, P.E., Jeffries, J.S. & Varni, J.W. Urodynamic biofeedback treatment of urinary incontinence in children with myelomeningocele. Biofeedback and Self-Regulation 10, 161–171 (1985). https://doi.org/10.1007/BF01000751

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