Is urotherapy alone as effective as a combination of urotherapy and biofeedback in children with dysfunctional voiding?

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dc.contributor.authorAltunkol, Adem
dc.contributor.authorAbat, Deniz
dc.contributor.authorSener, Nevzat Can
dc.contributor.authorGulum, Mehmet
dc.contributor.authorCiftci, Halil
dc.contributor.authorSavas, Murat
dc.contributor.authorYeni, Ercan
dc.date.accessioned2024-09-18T20:04:27Z
dc.date.available2024-09-18T20:04:27Z
dc.date.issued2018
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractObjective: To compare standard urotherapy with a combination of urotherapy and biofeedback sessions and to determine the changes that these therapies promote in children with dysfunctional voiding. Patients and Methods: The data of 45 patients who participated in the study from January 2010 to March 2013 were evaluated. All patients underwent urinary system ultrasonography to determine post-void residual urine volumes and urinary system anomalies. All patients were diagnosed using uroflowmetry - electromyography (EMG). The flow pattern, maximum flow rate, and urethral sphincter activity were evaluated in all patients using uroflowmetry - EMG. Each patient underwent standard urotherapy, and the results were recorded. Subsequently, biofeedback sessions were added for all patients, and the changes in the results were recorded and statistically compared. Results: A total of forty - five patients were included, of which 34 were female and 11 were male and the average age of the patients was 8.4 +/- 2.44 years (range: 5 - 15 years). After the standard urotherapy plus biofeedback sessions, the post-void residual urine volumes, incontinence rates and infection rates of patients were significantly lower than those with the standard urotherapy (p < 0.05). A statistically significant improvement in voiding symptoms was observed after the addition of biofeedback sessions to the standard urotherapy compared with the standard urotherapy alone (p < 0.05). Conclusions: Our study showed that a combination of urotherapy and biofeedback was more effective in decreasing urinary incontinence rates, infection rates and post - void residual urine volumes in children with dysfunctional voiding than standard urotherapy alone, and it also showed that this combination therapy corrected voiding patterns significantly and objectively.en_US
dc.identifier.doi10.1590/S1677-5538.IBJU.2018.0194
dc.identifier.endpage993en_US
dc.identifier.issn1677-5538
dc.identifier.issn1677-6119
dc.identifier.issue5en_US
dc.identifier.pmid30130020en_US
dc.identifier.startpage985en_US
dc.identifier.urihttps://doi.org/10.1590/S1677-5538.IBJU.2018.0194
dc.identifier.urihttps://hdl.handle.net/20.500.12483/8187
dc.identifier.volume44en_US
dc.identifier.wosWOS:000446097700019en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherBrazilian Soc Urolen_US
dc.relation.ispartofInternational Braz J Urolen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectBiofeedbacken_US
dc.subjectPsychologyen_US
dc.subjectChilden_US
dc.subjectUrinary Tract Infectionsen_US
dc.titleIs urotherapy alone as effective as a combination of urotherapy and biofeedback in children with dysfunctional voiding?en_US
dc.typeArticleen_US

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