The effect of duration between sessions on biofeedback treatment in children with dysfunctional voiding

IF 1.5 4区医学 Q3 UROLOGY & NEPHROLOGY LUTS: Lower Urinary Tract Symptoms Pub Date : 2022-07-09 DOI:10.1111/luts.12456

Raziye Ergun MD, Naime Ipek Ozturk MD, Cagri Akin Sekerci MD

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引用次数: 1

Abstract

Objective

Biofeedback is an effective treatment in children with standard urotherapy-resistant dysfunctional voiding (DV). However, the duration of the session intervals is not standardized. We aimed to compare the effectiveness of daily and weekly sessions of biofeedback treatments.

Methods

The data of children who received biofeedback due to DV between March 2018 and May 2019 were retrospectively evaluated. The children were divided into two groups, one with daily and the other with weekly sessions. The voiding patterns in uroflowmetry (UF), maximum flow rate (Qmax), electromyography activity, postvoid residual volume (PVR), the ratio of voided volume to expected bladder capacity (EBC) (%), and Dysfunctional Voiding and Incontinence Scoring System (DVISS) were compared between the two groups.

Results

A total of 45 children (39 girls [86.6%] and 6 boys [13.3%]) were included in the study. The daily group consisted of 27 (60%) children and the weekly group of 18 (40%). Qmax, PVR, number of abnormal UF patterns, voiding volume/EBC, and DVISS scores were similar between the two groups before treatment. Voiding parameters improved statistically significantly in both groups following biofeedback, but there was no difference between the two groups. A statistical difference was found between the results of DVISS after treatment (P = .03).

Conclusion

Both types of biofeedback treatment (daily and weekly) are effective methods that improve voiding parameters and DVISS values in children with DV. Therefore, the duration between sessions can be determined according to the suitability of the patient and the biofeedback unit.

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间隔时间对排尿功能障碍儿童生物反馈治疗的影响

目的生物反馈是治疗标准尿路治疗抵抗性排尿功能障碍(DV)的有效方法。但是，会话间隔的持续时间没有标准化。我们的目的是比较每日和每周生物反馈治疗的有效性。方法回顾性分析2018年3月至2019年5月因DV接受生物反馈治疗的患儿资料。孩子们被分成两组，一组每天一次，另一组每周一次。比较两组患者尿流仪(UF)、最大流量(Qmax)、肌电图活动、尿后残留体积(PVR)、排尿体积与预期膀胱容量(EBC)之比(%)、功能障碍排尿和失禁评分系统(DVISS)的排尿模式。结果共纳入45例患儿，其中女孩39例(86.6%)，男孩6例(13.3%)。每日组有27名儿童(60%)，每周组有18名儿童(40%)。治疗前两组患者Qmax、PVR、异常UF型数、排尿量/EBC、DVISS评分差异无统计学意义。生物反馈后两组的排尿参数均有显著改善，但两组间差异无统计学意义。两组治疗后dvis结果比较，差异有统计学意义(P = .03)。结论每日和每周两种生物反馈治疗是改善DV患儿排尿参数和dvis值的有效方法。因此，疗程之间的持续时间可以根据患者和生物反馈单元的适用性来确定。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

LUTS: Lower Urinary Tract Symptoms UROLOGY & NEPHROLOGY-

CiteScore

3.00

自引率

7.70%

发文量

审稿时长

>12 weeks

期刊介绍： LUTS is designed for the timely communication of peer-reviewed studies which provides new clinical and basic science information to physicians and researchers in the field of neurourology, urodynamics and urogynecology. Contributions are reviewed and selected by a group of distinguished referees from around the world, some of whom constitute the journal''s Editorial Board. The journal covers both basic and clinical research on lower urinary tract dysfunctions (LUTD), such as overactive bladder (OAB), detrusor underactivity, benign prostatic hyperplasia (BPH), bladder outlet obstruction (BOO), urinary incontinence, pelvic organ prolapse (POP), painful bladder syndrome (PBS), as well as on other relevant conditions. Case reports are published only if new findings are provided. LUTS is an official journal of the Japanese Continence Society, the Korean Continence Society, and the Taiwanese Continence Society. Submission of papers from all countries are welcome. LUTS has been accepted into Science Citation Index Expanded (SCIE) with a 2011 Impact Factor.