Voiding Dysfunctions in children may be helped by Biofeedback
In the United States, bedwetting is a problem for as many as 7 million children, according to the National Institutes of Health. While there's no set age that children actually outgrow bedwetting, each year as children grow older, fewer and fewer experience enuresis.
Bed-wetting is common prior to puberty, affecting about 15% of kids. It often runs in families, and boys are more likely to wet the bed than girls. However, girls will have more day accidents than boys.
Children that have voiding dysfunctions may not empty their bladder fully before going to bed.
Dysfunctional voiding may develop as a result of inappropriate contractions of the pelvic floor muscles to suppress bladder contractions with tightening of the urinary sphincter. Manifestations include daytime enuresis.
The etiology of dysfunctional voiding is not clear, but through biofeedback therapy, children can learn to relax the pelvic floor and urethral sphincter during voiding. Bladder biofeedback involves urodynamic testing during bladder filling, while voiding biofeedback, which is less invasive, involves electromyography of the perinea muscles during voiding.
Steven F. Trimarco
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