Abstract
Objective: Underactive bladder is also known as lazy bladder, infrequent voiding or acontractile bladder. Patients do not have neurological or anatomical problems, void less frequently and have a large bladder capacity. Underactive bladder is a rare condition and is diagnosed in 5-9% of anatomically and neurologically normal children with lower urinary tract dysfunction. We present our patients who underwent biofeedback treatment for underactive bladder and discuss the treatment results in this article.
Material and Methods: We evaluated 20 cases that underwent biofeedback treatment for underactive bladder between 2009 and 2012. Physical examination, urinalysis, uroflow/EMG and cystometry were performed in all cases. Voiding diaries and symptom scores were evaluated. The presence of constipation was queried. A diagnosis of underactive bladder was made in patients without neurological disease or anatomical problems, with increased bladder
Keywords: Underactive bladder, Biofeedback, Child
References
- Neveus T, von Gontard A, Hoebeke P, Hjälmås K, Bauer S, Bower W, et al. The standardization of terminology of lower urinary tract function in children and adolescents: Report from the Standardisation Committee of the International Children’s Continence Society. J Urol 2006;176:314-24.
- Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, et al. The standardisation of terminology of lower urinary tract function: report from the Standardisation Subcommittee of the International Continence Society. Neurourol Urodyn 2002;21:167–78.
- van Koeveringe GA, Vahabi B, Andersson KE, Kirschner-Herrmans R, Oelke M. Detrusor underactivity: A plea for new approaches to a common bladder dysfunction. Neurourol Urodyn 2011;30:723-8.
- Madjar S, Appell RA. Impaired detrusor contractility: Anything new? Curr Urol Rep 2002;3:373-7.
- Anderson JB, Grant JB. Postoperative retention of urine: Aprospective urodynamic study. BMJ 1991;302:894-6.
- Krane R, Siroky M. Classification of voiding dysfunction: Value of classification systems. In: Barrett D, Wein A (eds). Controversies in Neuro-Urology. New York, NY: Churchill Livingstone, 1984:223-38.
- Alexander S, Rowan D. Treatment of patients with hypotonic bladder by radio-implant. Br J Surg 1972;59:302.
- Kirby RS, Fowler C, Gilpin SA, Holly E, Milroy EJ, Gosling JA, et al. Non-obstructive detrusor failure. A urodynamic, electromyographic, neurohistochemical and autonomic study. Br J Urol 1983;55: 652-9.
- Glassberg KI, Combs AJ, Horowitz M. Nonneurogenic voiding disorders in children and adolescents: Clinical and videourodynamic findings in 4 specific conditions. J Urol 2010;184:2123-7.
- Porena M, Costantini E, Rociola W, Mearini E. Biofeedback successfully cures detrusor sphincter dyssynergia in pediatric patients. J Urol 2000;163:1927-31.
- Chin-Peuckert L, Salle JL. A modified biofeedback program for children with Detrusor sphincter dyssynergia: 5-year experience. J Urol 2001;166:1470-5.
- J. One thousand video-urodynamic studies in children with non neurogenic bladder sphincter dysfunction. BJU Int 2001;87: 575-80.
- Vasconcelos M, Lima E, Caiafa L, Noronha A, Cangussu R, Gomes S, et al. Voiding dysfunction in children. Pelvic-floor exercises or biofeedback therapy: A randomized study. Pediatr Nephrol 2006 21:1858-64.
Copyright and license
Copyright © 2015 The Author(s). This is an open access article distributed under the Creative Commons Attribution License (CC BY), which permits unrestricted use, distribution, and reproduction in any medium or format, provided the original work is properly cited.