Abstract | PURPOSE: MATERIALS AND METHODS: Our program of behavioral therapy included timed voiding, modification of fluid intake, positive reinforcement techniques and pelvic floor (Kegel) exercises to promote pelvic floor strengthening and relaxation. Questionnaires to assess therapeutic efficacy were mailed to patients who had completed therapy more than 1 year previously. RESULTS: A total of 48 patients responded. Mean ages at the time of the initial clinic visit and questionnaire were 8.2 and 12.9 years, respectively. Improvement in symptoms was noted in approximately 74% of the cases during the first year following therapy. At a mean of 4. 7 years after treatment 59.4% of the patients had improved daytime urinary control, 51.1% improved daytime urinary frequency and 45.6% improved daytime urinary urgency. The frequency of urinary tract infections decreased in 56.4% of the cases. Measures of psychological well-being were also noted to be improved in a majority of patients. A total of 77.3% of the patients stated that they would recommend the program to others. CONCLUSIONS:
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Authors | J S Wiener, M T Scales, J Hampton, L R King, R Surwit, C L Edwards |
Journal | The Journal of urology
(J Urol)
Vol. 164
Issue 3 Pt 1
Pg. 786-90
(Sep 2000)
ISSN: 0022-5347 [Print] United States |
PMID | 10953156
(Publication Type: Journal Article)
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Topics |
- Adolescent
- Attitude to Health
- Behavior Therapy
(methods)
- Child
- Child, Preschool
- Drinking
(physiology)
- Female
- Follow-Up Studies
- Humans
- Longitudinal Studies
- Male
- Patient Satisfaction
- Pelvic Floor
(physiology)
- Physical Therapy Modalities
- Reinforcement, Psychology
- Surveys and Questionnaires
- Treatment Outcome
- Urinary Incontinence
(psychology, therapy)
- Urinary Tract Infections
(prevention & control)
- Urination
(physiology)
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