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Randomized Controlled Trial
. 2013 Apr-Jun;11(2):203-8.
doi: 10.1590/s1679-45082013000200012.

Comparative, prospective, and randomized study between urotherapy and the pharmacological treatment of children with urinary incontinence

[Article in English, Portuguese]
Renata Martins Campos, Antonio Gugliotta, Osamu Ikari, Maria Carolina Perissinoto, Adélia Correia Lúcio, Ricardo Miyaoka, Carlos Arturo Levi D'Ancona
Randomized Controlled Trial

Comparative, prospective, and randomized study between urotherapy and the pharmacological treatment of children with urinary incontinence

[Article in English, Portuguese]
Renata Martins Campos et al. Einstein (Sao Paulo). 2013 Apr-Jun.

Abstract
in English, Portuguese

Objective: To verify and compare the results of behavioral modification plus pelvic floor muscle training and behavioral modifications plus oxybutynin chloride in children with nonmonosymptomatic enuresis.

Methods: A total of 47 children were randomized using opaque and sealed envelopes sequentially numbered. Group I was composed of 21 children who underwent antimuscarinic treatment (oxybutynin), and Group II was composed of 26 patients who underwent pelvic floor muscle training. Both groups were instructed as to behavioral modifications.

Results: The voiding diary results were compared each month between Groups I and II. In the first month of treatment, children in Group I presented 12.2 dry nights, 13.4 in the second month, and 15.9 in the last month. In Group II, the results were: 14.9 dry nights in the first month, 20.8 dry nights in the second and 24.0 dry nights in the last month. There was a significant difference between the groups in second and third months.

Conclusion: Pelvic floor exercises associated with behavioral changes were more effective than pharmacological treatment in children with urinary incontinence.

Objetivo:: Verificar e comparar os resultados da modificação comportamental associado ao treinamento dos músculos do assoalho pélvico e modificação comportamental associado ao uso de cloridrato de oxibutinina em crianças com enurese não monossintomática.

Métodos:: Foram randomizadas 47 crianças por meio de envelopes opacos e selados com numeração sequencial. O Grupo I foi composto por 21 crianças que receberam tratamento com antimuscarínico (oxibutinina) e o Grupo II por 26 pacientes que receberam treinamento dos músculos do assoalho pélvico. Ambos os grupos foram instruídos em relação à modificação comportamental.

Resultados:: Os resultados do diário miccional foram comparados cada mês entre os Grupos I e II. No primeiro mês de tratamento, as crianças do Grupo I apresentaram 12,2 noites secas, 13,4 no segundo mês e 15,9 no último mês. No Grupo II, os resultados foram: 14,9 noites secas no primeiro mês, 20,8 no segundo mês e 24,0 no último mês. Houve diferença significativa entre os grupos no segundo e no terceiro mês.

Conclusão:: Os exercícios do assoalho pélvico associados a mudança comportamental foram mais efetivos do que o tratamento farmacológico em crianças com incontinência urinária.

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Conflict of interest statement

Conflicts of interest: none.

Figures

Figure 1
Figure 1. Position for voiding
Figure 2
Figure 2. Ludic voiding diary
Figure 3
Figure 3. Pelvic floor muscles training
Figure 4
Figure 4. Abdominal muscles training
Figure 5
Figure 5. Gluteal muscles training
Figure 6
Figure 6. Pelvic and hip movements reeducation
See this image and copyright information in PMC

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References

    1. Nevéus T, von Gontard A, Hoebeke P, Hjälmås K, Bauer S, Bower W, et al. The standardization of terminology of lower urinary tract function in children and adolescents: report from the Standardisation Committee of the International Children's Continence Society. J Urol. 2006;176(1):314–324. - PubMed
    1. Hoffmann F, Steuber C, Günther J, Glaeske G, Bachmann CJ. Which treatments do children with newly diagnosed non-organic urinary incontinence receive? An analysis of 3,188 outpatient cases from Germany. Neurourology and Urodyn. 2012;31(1):93–98. - PubMed
    1. Shafik A, Shafik IA. Overactive bladder inhibition in response to pelvic floor muscle exercises. World J Urol. 2003;20(6):374–377. - PubMed
    1. Caione P, Arena F, Biraghi M, Cigna RM, Chendi D, Chiozza ML, et al. Nocturnal enuresis and daytime wetting: A multicentric trial with oxybutynin and desmopressin. Eur Urol. 1997;31(4):459–463. - PubMed
    1. Zivkovic V, Lazovic M, Vlajkovic M, Slavkovic A, Dimitrijevic L, Stankovic I, et al. Diaphragmatic breathing exercises and pelvic floor retraining in children with dysfunctional voiding. Eur J Phys Rehabil Med. 2012;48(3):413–421. - PubMed

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