Voiding school for children with idiopathic urinary incontinence and/or bladder dysfunction

Journal of Pediatric Urology
Gunilla Glad MattssonSven Mattsson

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
Aug 23, 2000·The Journal of Urology·J S WienerC L Edwards
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
Feb 27, 2004·European Journal of Pediatrics·Els BakkerJean-Jacques Wyndaele
Aug 18, 2004·The Journal of Urology·Gunilla GladhSivert Lindström
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
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

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Citations

Dec 15, 2020·Current Opinion in Pediatrics·Abbie Bauer
Mar 16, 2021·Pediatric Quality & Safety·Martha PokarowskiJoana Dos Santos

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