Effect of biofeedback pelvic floor training on urodynamic study in children with detrusor sphincter dyssynergia
Introduction Detrusor sphincter dyssynergia (DSD) is the urodynamic description of bladder outlet obstruction from detrusor muscle contraction with concomitant involuntary urethral sphincter activation. DSD is associated with neurologic conditions such as spina bifida. It is associated with urinary...
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Taylor & Francis Group
2024-12-01
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| Series: | Alexandria Journal of Medicine |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/20905068.2024.2397741 |
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| author | Mervat Sheta Elsawy Haytham El Metwally Badawy Mohamed Abdel Sattar Sharafeldeen Waleed Dawood |
| author_facet | Mervat Sheta Elsawy Haytham El Metwally Badawy Mohamed Abdel Sattar Sharafeldeen Waleed Dawood |
| author_sort | Mervat Sheta Elsawy |
| collection | DOAJ |
| description | Introduction Detrusor sphincter dyssynergia (DSD) is the urodynamic description of bladder outlet obstruction from detrusor muscle contraction with concomitant involuntary urethral sphincter activation. DSD is associated with neurologic conditions such as spina bifida. It is associated with urinary incontinence (UI), nocturnal enuresis, urgency, intermittency, and recurrent urinary tract infections (UTIs).The Aim of this Study It aims to assess the efficacy of biofeedback (BF) for achieving perineal synergy and improving symptoms in thirty children with refractory DSD who failed to improve with medical treatment in the last 2 to 3 years.Material and Methods Thirty children (20 girls and 10 boys) aged 6–18 years (mean: 9.2 ± 2.2 yrs) with refractory DSD who failed to show improvement after 2–3 years of medical treatment with recurrent UTI and failure to emptying completely their bladder using urodynamic study. After patients understood the concept of BF pelvic floor training were regularly scheduled twice weekly for up to 3 months. Improvement was assessed using interview with parents after 3 months with measurement of manomeric pelvic floor muscles (PFMs) during straining and urodynamic study.Results Seven (23.3%) of the 30 children had daytime UI and 11 (36.7%) had nighttime incontinence. 4/30 (13.3%) children had increased urgency and 5 (16.7%) had straining intermittency and 3% (10%) had Dysuria. After 3 months of BF pelvic floor training 7/30 (23.3%) of children were fully responsive 100% decrease of symptoms, 14/30 (46%) responded more than 90% decrease of their symptoms, 7/30 (23.3%) of children responded partial decrease of symptoms and 2/30 (0 to 49%) decrease of symptoms to BF pelvic floor training.Conclusions BF pelvic floor training is an effective therapeutic option for children with refectory DSD. It improves symptoms of children with DSD with decreased UTIs through decreasing pressure of PFMs during urination. |
| format | Article |
| id | doaj-art-3ebfb4db5de34c8aadec97db4570d193 |
| institution | Kabale University |
| issn | 2090-5068 2090-5076 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Alexandria Journal of Medicine |
| spelling | doaj-art-3ebfb4db5de34c8aadec97db4570d1932024-11-22T08:38:07ZengTaylor & Francis GroupAlexandria Journal of Medicine2090-50682090-50762024-12-0160134334710.1080/20905068.2024.2397741Effect of biofeedback pelvic floor training on urodynamic study in children with detrusor sphincter dyssynergiaMervat Sheta Elsawy0Haytham El Metwally Badawy1Mohamed Abdel Sattar Sharafeldeen2Waleed Dawood3Physical Medicine and Rehabilitation, Faculty of Medicine, Alexandria University, Bab Sharqi, EgyptUrology Department, Faculty of Medicine, Alexandria University, Bab Sharqi, EgyptUrology Department, Faculty of Medicine, Alexandria University, Bab Sharqi, EgyptUrology Department, Faculty of Medicine, Alexandria University, Bab Sharqi, EgyptIntroduction Detrusor sphincter dyssynergia (DSD) is the urodynamic description of bladder outlet obstruction from detrusor muscle contraction with concomitant involuntary urethral sphincter activation. DSD is associated with neurologic conditions such as spina bifida. It is associated with urinary incontinence (UI), nocturnal enuresis, urgency, intermittency, and recurrent urinary tract infections (UTIs).The Aim of this Study It aims to assess the efficacy of biofeedback (BF) for achieving perineal synergy and improving symptoms in thirty children with refractory DSD who failed to improve with medical treatment in the last 2 to 3 years.Material and Methods Thirty children (20 girls and 10 boys) aged 6–18 years (mean: 9.2 ± 2.2 yrs) with refractory DSD who failed to show improvement after 2–3 years of medical treatment with recurrent UTI and failure to emptying completely their bladder using urodynamic study. After patients understood the concept of BF pelvic floor training were regularly scheduled twice weekly for up to 3 months. Improvement was assessed using interview with parents after 3 months with measurement of manomeric pelvic floor muscles (PFMs) during straining and urodynamic study.Results Seven (23.3%) of the 30 children had daytime UI and 11 (36.7%) had nighttime incontinence. 4/30 (13.3%) children had increased urgency and 5 (16.7%) had straining intermittency and 3% (10%) had Dysuria. After 3 months of BF pelvic floor training 7/30 (23.3%) of children were fully responsive 100% decrease of symptoms, 14/30 (46%) responded more than 90% decrease of their symptoms, 7/30 (23.3%) of children responded partial decrease of symptoms and 2/30 (0 to 49%) decrease of symptoms to BF pelvic floor training.Conclusions BF pelvic floor training is an effective therapeutic option for children with refectory DSD. It improves symptoms of children with DSD with decreased UTIs through decreasing pressure of PFMs during urination.https://www.tandfonline.com/doi/10.1080/20905068.2024.2397741Biofeedbackpelvic floor rehabilitationurodynamic studysphincter dyssynergiaurinary incontinence |
| spellingShingle | Mervat Sheta Elsawy Haytham El Metwally Badawy Mohamed Abdel Sattar Sharafeldeen Waleed Dawood Effect of biofeedback pelvic floor training on urodynamic study in children with detrusor sphincter dyssynergia Alexandria Journal of Medicine Biofeedback pelvic floor rehabilitation urodynamic study sphincter dyssynergia urinary incontinence |
| title | Effect of biofeedback pelvic floor training on urodynamic study in children with detrusor sphincter dyssynergia |
| title_full | Effect of biofeedback pelvic floor training on urodynamic study in children with detrusor sphincter dyssynergia |
| title_fullStr | Effect of biofeedback pelvic floor training on urodynamic study in children with detrusor sphincter dyssynergia |
| title_full_unstemmed | Effect of biofeedback pelvic floor training on urodynamic study in children with detrusor sphincter dyssynergia |
| title_short | Effect of biofeedback pelvic floor training on urodynamic study in children with detrusor sphincter dyssynergia |
| title_sort | effect of biofeedback pelvic floor training on urodynamic study in children with detrusor sphincter dyssynergia |
| topic | Biofeedback pelvic floor rehabilitation urodynamic study sphincter dyssynergia urinary incontinence |
| url | https://www.tandfonline.com/doi/10.1080/20905068.2024.2397741 |
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