To determine the long-term results in this group of 95 patients, trained between 1987 and 1990.
ID
Source
Brief title
Condition
- Urinary tract signs and symptoms
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
The same parameters will be used as in 1994.
1. number of wet incidents a week
2. micturition frequency
3. urge complaints
4. flow pattern in a subgroup.
Results will be classified as good, improved or bad.
- 1 wet incident or less per week, combined with 3 normalised parameters is
considered good.
-less then 3 wet incidents per week, a normal flow pattern combined with
improvement of 1 of the 2 remaining parameters is considered improvement.
- 2 or more wet incidents per week with 2 of the 3 remaining parameters
unchanged is considered bad. The result is also bad when complaints are
unchanged.
ICCS terminology will be followed as much as possible.
Secondary outcome
Comorbidity consisting of recurrent UTI's and constipation.
Determination of risk-factors for recurrence of complaints.
Background summary
Dysfunctional voiding is abnormel emptying of the bladder that can lead to
urinary incontinence and recurrent urinary tract infections. Prevalence is
approximately 9% of school-age children, predominantly girls. Treatment by
cognitive and biofeedback training has been proven to be effective and has
become standard therapy over the years.
In 1982, a three step treatment protocol was started:
1. outpatient treatment by pediatrician or pediatric urologist with explanation
of the mechanism, prophylactic treatment with antibiotics for recurrent urinary
tract infections and laxative treatment for concomitant constipation.
2. cognitive outpatient training by a urotherapist, in addition to step 1, with
extra explanation of the mechanism and toilet habits, uroflowmetry for
treatment control and spychologic support by weekly telephone contact.
3. Hospitalised biofeedback training program with 10 day hospitalisation,
biofeedback by uroflowmetry of all voidings and biofeedback by a wetting alarm
on incontinence. Six month after training, 95 children were monitored and these
results were published in 1997.
Study objective
To determine the long-term results in this group of 95 patients, trained
between 1987 and 1990.
Study design
Questionnaire by telephone on voiding habits and incontinence. The ex-patients
also be asked, wether they would be willing to come to the hospital for
uroflowmetry and ultrasound determination of post-void residual.
Study burden and risks
Questionnaire by telephone for all patients. A limited number of patients will
come to the Hospital for uroflowmetry and ultrasound measurement of residual
urine.
Postbus 85090
3508AB Utrecht
Nederland
Postbus 85090
3508AB Utrecht
Nederland
Listed location countries
Age
Inclusion criteria
Patients that have been trained between 1987 and 1990
Exclusion criteria
none
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL16237.041.07 |