Biofeedback therapy with electrostimulation of the pelvic floor muscles in pediatric patients with neurogenic lower urinary tract dysfunction

Romih V.V., Borisenko L.Yu., Zaharchenko A.V.

One of the perspective methods of the treatment in patients with neurogenic lower urinary tract dysfunction (NLUTD) is biofeedback therapy combined with electrostimulation of the pelvic floor muscles. The advantages of this treatment are noninvasive nature, treatment in the form of playing, rising the commitment of the children, special facilities to demonstrate the achieved results to the patients, easy change of therapeutic strategies and introduction in the treatment for patients, absence of absolute contraindications.

We report the experience of the laboratory for urodynamics and functional disorders of the National Scientific Institute of Urology. 67 children with the age in the range of 5-16 years were treated due to various forms of neurogenic lower urinary tract dysfunction: enuresis, day-time incontinence, urgency, increased frequency of micturition, voiding with slow stream, interrupted voiding, absence of the urge to micturition and feeling of the incomplete emptying. Treatment included the individually selected regimens of the biofeedback therapy. According to the analysis, 62% of the patients experienced significant improvement. Among them 46% didn’t have NLUTD by the end of the treatment course, 54% – presented with a partial response. The most prominent effect was denoted in the patients with slow stream voiding, interrupted voiding, enuresis and day-time incontinence.

Drawing a conclusion, biofeedback therapy combined with the electrostimulation of the pelvic floor muscles could be an effective method of treatment in pediatric population with neurogenic urinary tract dysfunction.

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