Urinary and Fecal Incontinence: A Training Program for Children and Adolescents

Self Cite

Incontinence in adolescents is a neglected research topic and clinical care is often suboptimal. As adolescents are seen by both pediatric and adult services, alignment and harmonization of diagnostic and therapeutic principles is needed. Also, an organized transition process is recommended to improve care for adolescent patients. Neurourol. Urodynam. 36:843-849, 2017. © 2017 Wiley Periodicals, Inc.

Section: Treatmentmentioning

confidence: 99%

Adolescents with nocturnal enuresis and daytime urinary incontinence—How can pediatric and adult care be improved—ICI‐RS 2015?

Gontard

Cardozo

Rantell

et al. 2017

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“…Additional interventions of urotherapy involve cognitive behavioral therapy (CBT) and psychotherapy, 3 as well as specific group programs for children with treatment-resistant DUI. 19 Biofeedback. Biofeedback is a technique in which a physiological process is monitored, amplified, and conveyed to the patient as visual and/or acoustical signals, thereby making the patient aware of unconscious unphysiological processes.…”

Section: Management Non Pharmacological Treatmentmentioning

confidence: 99%

Treatment of daytime urinary incontinence: A standardization document from the International Children's Continence Society

Chang

Laecke

Bauer

et al. 2015

Self Cite

129

The final document is not a systematic literature review. It includes relevant research when available as well as experts' opinion on the current understanding of daytime incontinence in children. This document illustrates that specific treatment of DUI based on an exact diagnosis is effective. The mainstay of treatment is urotherapy, but a combination of treatment modalities is often necessary. Neurourol. Urodynam. 36:43-50, 2017. © 2015 Wiley Periodicals, Inc.

“…Despite standard therapy, some children do not respond adequately. For these children, structured outpatient training programs have been developed, which can be administered as individual training or in group format …”

Section: Current Management Of DV In Childhoodmentioning

confidence: 99%

“…For these children, structured outpatient training programs have been developed, which can be administered as individual training or in group format. 32 6 | HOW WELL DO WE SUCCEED…”

Section: In Childhoodmentioning

confidence: 99%

Can we improve our management of dysfunctional voiding in children and adults: International Consultation on Incontinence Research Society; ICI‐RS2018?

Tarcan

Gontard

Apostolidis

et al. 2019

Aims: Dysfunctional voiding (DV) remains a poorly understood and a poorly managed problem, both in children and adults. The Think Tank (TT) discussed how to improve the management of DV in these two different age groups and in transitional care. Methods: During the 2018 International Consultation on Incontinence Research Society held in Bristol, a multidisciplinary TT on DV was created. The presentations and subsequent discussion, leading to research recommendations intended to improve the management of DV in children and adults are summarized. Results: To improve the management of DV in children and adults, the TT panel proposed: (1) to conduct reliable prevalence studies of DV; (2) to perform longitudinal studies to prospectively test the sequence hypothesis by answering the following questions: (a) Which, if any children show a progression from overactive bladder or voiding postponement to DV?; (b) Which children develop each disorder without precursors?; and (c) Is there a continuation of DV from childhood to adulthood, or are adult cases new-onset presentations?;(3) to obtain detailed information regarding psychopathology to understand which comorbid psychological disorders prevail and at which rate, in those suffering DV; (4) to develop and validate diagnostic tools specifically for DV; (5) to better establish urodynamic correlates of DV specific for different age groups; and (6) to generate prospective long-term data regarding the efficacy of different treatment options and management strategies. Conclusions: The future research recommendations of this TT may improve our management of DV in children and adults. K E Y W O R D S biofeedback, dysfunctional voiding, emptying symptoms, overactive bladder, urethral sphincter, urodynamics