The C.A.M. Report
Complementary and Alternative Medicine: Fair, Balanced, and to the Point
  • About this web log

    This blog is intended as an objective and dispassionate source of information on the latest CAM research. Since my background is in pharmacy and allopathic medicine, I view all CAM as advancing through the development pipeline to eventually become integrated into mainstream medical practice. Some will succeed while others fail. But all are treated fairly here.

  • About the author

    John Russo, Jr., PharmD, is president of The MedCom Resource, Inc. Previously, he was senior vice president of medical communications at www.Vicus.com, a complementary and alternative medicine website.

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    The material on this weblog is for informational purposes. It is not medical advice or counsel. Be smart, consult your health professional before using CAM.

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    Biofeedback in children with voiding disorders

    Urinary incontinence can lead to lower self-esteem and even kidney damage.

    Researchers from Hopital Jeanne de Flandre in Lille, France evaluated the effect of a biofeedback-training program in children with a long history of voiding disorders.

    First, the details.

    • 60 children with voiding disorders not due to neuropathic disease (nerve disorders) were treated.
    • Symptoms included daytime incontinence, urgency, and nighttime incontinence.
    • 62% of the children had a history of urinary tract infections
      • 37% of them also had vesico-ureteral reflux (when urine backs into the ureters and/or kidneys).
    • During 10 weekly sessions they were given instructions on toilet behavior and posture, and pelvic floor training.
    • They documented voiding frequency and liquid intake.
    • The biofeedback technique placed electrodes between the anus and genitals.
    • The exercises focused on relaxation of the perineum.

    And, the results 6 months after the last session.

    • 96% of the children with daytime incontinence and 83% of the children with nighttime incontinence were cured or improved.
    • 84% of the children were free from infection.
    • Vesico-ureteral reflux was cured in half of the patients.

    After 21 months.

    • 8% of the children with daytime incontinence and 33% with night-time incontinence relapsed.
      • There was a significant difference between primary (cause not known) and secondary (due to an underlying condition) enuresis (involuntary urination).
    • A breakthrough urinary tract infection occurred in 19% of patients.

    The bottom line?
    The authors concluded, “This non-invasive training program was effective in the treatment of daytime incontinence, urinary tract infection, and vesico-ureteral reflux.”

    In addition, an improvement in secondary enuresis was observed. However, additional support sessions seem necessary to prevent relapse.

    More on urinary incontinence is here.

    10/26/08 21:45 JR

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