Skip to main content

Advertisement

Log in

Biofeedback therapy and dysfunctional voiding in children

  • Published:
Current Urology Reports Aims and scope Submit manuscript

Abstract

Dysfunctional voiding, a condition in which a neurologically intact child fails to relax the urinary sphincter during micturition, was first described in the 1970s. Clinically, these children have urinary incontinence and recurrent urinary tract infections. Biofeedback, through which the child is taught to relax the pelvic floor during voiding, has become an increasingly popular method of treatment. Many series, most retrospective, have shown biofeedback to be very effective in the treatment of this disorder.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References and Recommended Reading

  1. Hinman F, Baumann FW: Vesical and ureteral damage from voiding dysfunction in boys without neurologic or obstructive disease. J Urol 1973, 109:727–732. This article first defined the basic pathophysiology of dysfunctional voiding and laid the groundwork for all later descriptions.

    PubMed  CAS  Google Scholar 

  2. Allen TD: The non-neurogenic neurogenic bladder. J Urol 1977, 117:232–238.

    PubMed  CAS  Google Scholar 

  3. Allen TD, Bright TC III: Urodynamic patterns in children with dysfunctional voiding problems. J Urol 1978, 119:247–249.

    PubMed  CAS  Google Scholar 

  4. Firlit CF, Smey P, King LR: Micturition urodynamic flow studies in children. J Urol 1978, 119:250–253.

    PubMed  CAS  Google Scholar 

  5. Norgaard JP, van Gool JD, Hjalmas K, et al.: Standardization and definitions in lower urinary tract dysfunction in children. International Children’s Continence Society. Br J Urol 1998, 81(suppl 3):1–16. This article defines pediatric lower urinary tract dysfunction terminology; all researchers in the field should consider it a reference.

    PubMed  Google Scholar 

  6. McKenna PH, Herndon CDA, Connery S, Ferrer FA: Pelvic floor muscle retraining for pediatric voiding dysfunction using interactive computer games. J Urol 1999, 162:1056–1062. The authors describe their first experience with an innovative technique to keep children engaged during EMG-based biofeedback training.

    Article  PubMed  CAS  Google Scholar 

  7. Maizels M, King LR, Firlit CF: Urodynamic biofeedback: a new approach to treat vesical-sphincter dyssynergia. J Urol 1979, 122:205–209.

    PubMed  CAS  Google Scholar 

  8. Hoebeke P, Van Laecke E, Van Camp C, et al.: One thousand video-urodynamic studies in children with non-neurogenic bladder sphincter dysfunction. BJU Int 2001, 87:575–580. This enormous series of pediatric urodynamic studies nicely lays out the various types of disorders that are often lumped together as “dysfunctional voiding.”

    Article  PubMed  CAS  Google Scholar 

  9. Parekh DJ, Pope JC IV, Adams MC, Brock JW III: The use of radiography, urodynamic studies and cystoscopy in the evaluation of voiding dysfunction. J Urol 2001, 165:215–218.

    Article  PubMed  CAS  Google Scholar 

  10. Wolffenbuttel KP, Kok DJ, van Mastrigt R, et al.: Measurement of urinary flow rate using ultrasound in young boys and infants. J Urol 2001, 166:1058–1061.

    Article  PubMed  CAS  Google Scholar 

  11. Farhat W, McClorie GA, O’Reilly S, et al.: Reliability of the dysfunctional voiding symptom score in monitoring response to behavioral modification. Can J Urol 2001, 8:1401–1045. This review represents one of the first attempts to develop a standardized survey instrument to describe voiding symptoms in children. Such an instrument will be an essential part of any future research into pediatric incontinence.

    PubMed  CAS  Google Scholar 

  12. Combs AJ, Glassberg AD, Gerdes D, Horowitz M: Biofeedback therapy for children with dysfunctional voiding. Urology 1998, 52:312–315.

    Article  PubMed  CAS  Google Scholar 

  13. Chin-Peuckert L, Salle JL: A modified biofeedback program for children with detrusor-sphincter dyssynergia: 5-year experience. J Urol 2001, 166:1470–1475.

    Article  PubMed  CAS  Google Scholar 

  14. Herndon CD, Decambre M, McKenna PH: Interactive computer games for treatment of pelvic floor dysfunction. J Urol 2001, 166:1893–1898.

    Article  PubMed  CAS  Google Scholar 

  15. Shulman SL, Von Zuben FC, Plachter N, et al.: Biofeedback methodology: Does it matter how we teach children how to relax the pelvic floor during voiding? J Urol 2001, 166:2423–2426.

    Article  Google Scholar 

  16. Palmer LS, Franco I, Rotario P, et al.: Biofeedback therapy expedites the resolution of reflux in older children. J Urol 2001, 168:1699–1702.

    Article  Google Scholar 

  17. Capozza N, Lais A, Matarazzo E, et al.: Influence of voiding dysfunction on the outcome of endoscopic treatment of vesicoureteral reflux. J Urol 2002, 168:1695–1698.

    Article  PubMed  CAS  Google Scholar 

  18. Metwalli AR, Cheng EY, Kropp BP, Pope JC: The practice of urethral dilation for voiding dysfunction among fellows of the Section on Urology of the American Academy of Pediatrics. J Urol 2002, 168:1764–1767. This article reminds us that there are still some members of the pediatric urology community who treat dysfunctional voiding with urethral dilation.

    Article  PubMed  Google Scholar 

  19. Pohl HG, Bauer SB, Borer JG, et al.: The outcome of voiding dysfunction managed with clean intermittent catheterization in neurologically and anatomically normal children. BJU Int 2002, 89:923–927.

    Article  PubMed  CAS  Google Scholar 

  20. Munding M, Wessells H, Thornberry B, Riden D: Use of tolterodine in children with dysfunctional voiding: an initial report. J Urol 2001, 165:926–928.

    Article  PubMed  CAS  Google Scholar 

  21. Austin PF, Homsy YL, Masel JL, et al.: α-Adrenergic blockade in children with neuropathic and nonneuropathic voiding dysfunction. J Urol 1999, 162:1064–1067.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Duel, B.P. Biofeedback therapy and dysfunctional voiding in children. Curr Urol Rep 4, 142–145 (2003). https://doi.org/10.1007/s11934-003-0041-z

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11934-003-0041-z

Keywords

Navigation