Abstract
Individually applied urotherapy is first-line treatment in children with bladder dysfunction. A new concept of treatment for small groups of children was applied and evaluated. Two hundred children, 116 of them girls, aged 3-14 years (median 7.2) with bladder dysfunction and incontinence received urotherapy in small groups (2-5), called voiding school (VS). Outcome was evaluated after 3 and 12 months by voiding/leakage diary and questionnaire, and at 3 months by uroflow and post-void residual urine as well. The outcome of VS was independent of age and gender. At follow up at 3 and 12 months, respectively, 35% and 40% of the children were cured and another 30% and 34% improved (P≤0.0001). Compared with the year before start of VS, urinary tract infections decreased from 34% to 6% (P<0.0001). Median residual urine decreased from 15 ml before VS to 6 ml after 3 months (P<0.001). The concept of VS is a good alternative to individual urotherapy, with the outcome of fewer urinary tract infections and improved continence. Urotherapy for groups of children compared to individual treatment is also expected to have financial benefits.
References
Oct 1, 1987·The Journal of Urology·A L HellströmU Jodal
Sep 1, 1994·Acta Paediatrica·S Mattsson
Jan 1, 1994·Neurourology and Urodynamics·S Mattsson, A Spångberg
Feb 1, 1994·The Journal of Urology·G GeirssonK Hjälmås
Dec 1, 1996·Urology·P HoebekeC Renson
Aug 23, 2000·The Journal of Urology·J S WienerC L Edwards
Mar 17, 2001·BJU International·G GladhS Lindström
Nov 7, 2001·The Journal of Urology·S L SchulmanC Kodman-Jones
Feb 22, 2002·Neurourology and Urodynamics·Paul AbramsUNKNOWN Standardisation Sub-committee of the International Continence Society
Dec 19, 2002·Scandinavian Journal of Urology and Nephrology·E BakkerJ J Wyndaele
Dec 11, 2003·The Journal of Urology·Mitsura KajiwaraTsuguru Usui
Feb 3, 2004·Pediatrics·Jeanne M LandgrafJoseph Ortenberg
Feb 27, 2004·European Journal of Pediatrics·Els BakkerJean-Jacques Wyndaele
Aug 18, 2004·The Journal of Urology·Gunilla GladhSivert Lindström
Sep 17, 2004·The Journal of Urology·B LindehallU Sillén
Nov 16, 2004·The Journal of Urology·Donald P Bartkowski, Russell G Doubrava
Mar 10, 2005·Urologia Internationalis·Stephen Shei Dei Yang, Chung Cheng Wang
Jan 28, 2006·European Urology·Piet Hoebeke
Feb 14, 2006·The Journal of Urology·Mary Pat FitzgeraldUNKNOWN Reproductive Risks for Incontinence Study at Kaiser Research Group
Jun 7, 2006·The Journal of Urology·Tryggve NevéusJens Christian Djurhuus
Nov 30, 2006·Acta Paediatrica·Gunilla GladhSven Mattsson
Dec 27, 2008·The Journal of Urology·Premala SureshkumarJonathan Craig
Feb 13, 2009·Journal of Paediatrics and Child Health·Premala SureshkumarJonathan C Craig
May 1, 2014·Lower Urinary Tract Symptoms·Dong Soo RyuMinki Baek
Citations
Jan 24, 2016·Jornal de pediatria·Anne J Wright
Aug 26, 2015·Journal of Pediatric Urology·C Van den BroeckP Hoebeke
Sep 24, 2015·Jornal de pediatria·Adrienne LeblVera Hermina Kalika Koch
Jun 6, 2013·TheScientificWorldJournal·Mesrur Selcuk SilaySerdar Tekgul
Dec 3, 2014·The Journal of Urology·Natasha BrownriggLuis H Braga
Aug 30, 2016·The Journal of Urology·Luis H BragaArmando J Lorenzo
Feb 18, 2021·Journal of Pediatric Urology·J HussongA von Gontard
Jan 23, 2021·Journal of Pediatric Urology·A J Nieuwhof-LeppinkA von Gontard
Dec 15, 2020·Current Opinion in Pediatrics·Abbie Bauer
Mar 16, 2021·Pediatric Quality & Safety·Martha PokarowskiJoana Dos Santos
May 22, 2021·BMC Pediatrics·Zoran RadojicicNatasa Milic
Jun 30, 2021·Journal of Pediatric Urology·Aykut AkinciBerk Burgu