A Prospective Study of Behavioral Management of Functional Non-Anatomical Voiding Disorders in Children

Abstract

Background: Behavioral adjustment, anticholinergic medication, and treating underlying problems such as constipation and UTIs improve voiding dysfunction. Urotherapy, or behavioural management, encompasses all non-pharmacological and non-surgical therapeutic methods. Behavioral management, information and demystification regarding typical lower urinary tract [LUT] function and how one child urinates. Solution instructions, recording symptoms and voiding patterns in bladder diaries, encouragement from caregiver, follow-up are components of urotherapy.Aim of the work: To evaluate the efficacy of behavioral modification alone in management of functional non-anatomical voiding dysfunction in children.Patients and methods: This interventional prospective clinical study was carried out on 104 children with functional non-anatomical voiding dysfunction and\or urinary incontinence, referred to urology clinic and treated only with urotherapy.Results: Out of 104 studied children, 78 [73.6%] of them reported wetness every day before treatment. Most children [96.2%] had urination less than 4 times per day. The most frequent problem found in studied children was rushing to toilet and squatting or crossing legs in all children [100%] followed by not wanting to use school toilet in 36 [34.6%]. After treatment for one month, none of the children complained from rushing to toilet, squatting or crossing legs, not wanting to use school toilet, excessive dribbling, needing to pass urine more than once/2-3 hours and difficult starting urine.Conclusion: The current study showed that behavioral management alone was safe and effective in the management of functional non-anatomical voiding disorders in children.

Keywords

• urotherapy
• wetness
• constipation