The C.A.M. Report
Complementary and Alternative Medicine: Fair, Balanced, and to the Point
  • About this web log

    This blog ran from 2006 to 2016 and was intended as an objective and dispassionate source of information on the latest CAM research. Since my background is in pharmacy and allopathic medicine, I view all CAM as advancing through the development pipeline to eventually become integrated into mainstream medical practice. Some will succeed while others fail. But all are treated fairly here.

  • About the author

    John Russo, Jr., PharmD, is president of The MedCom Resource, Inc. Previously, he was senior vice president of medical communications at www.Vicus.com, a complementary and alternative medicine website.

  • Common sense considerations

    The material on this weblog is for informational purposes. It is not medical advice or counsel. Be smart, consult your health professional before using CAM.

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    Biofeedback in children with voiding disorders

    Urinary incontinence can lead to lower self-esteem and even kidney damage.

    Researchers from Hopital Jeanne de Flandre in Lille, France evaluated the effect of a biofeedback-training program in children with a long history of voiding disorders.

    First, the details.

    • 60 children with voiding disorders not due to neuropathic disease (nerve disorders) were treated.
    • Symptoms included daytime incontinence, urgency, and nighttime incontinence.
    • 62% of the children had a history of urinary tract infections
      • 37% of them also had vesico-ureteral reflux (when urine backs into the ureters and/or kidneys).
    • During 10 weekly sessions they were given instructions on toilet behavior and posture, and pelvic floor training.
    • They documented voiding frequency and liquid intake.
    • The biofeedback technique placed electrodes between the anus and genitals.
    • The exercises focused on relaxation of the perineum.

    And, the results 6 months after the last session.

    • 96% of the children with daytime incontinence and 83% of the children with nighttime incontinence were cured or improved.
    • 84% of the children were free from infection.
    • Vesico-ureteral reflux was cured in half of the patients.

    After 21 months.

    • 8% of the children with daytime incontinence and 33% with night-time incontinence relapsed.
      • There was a significant difference between primary (cause not known) and secondary (due to an underlying condition) enuresis (involuntary urination).
    • A breakthrough urinary tract infection occurred in 19% of patients.

    The bottom line?
    The authors concluded, “This non-invasive training program was effective in the treatment of daytime incontinence, urinary tract infection, and vesico-ureteral reflux.”

    In addition, an improvement in secondary enuresis was observed. However, additional support sessions seem necessary to prevent relapse.

    More on urinary incontinence is here.

    10/26/08 21:45 JR

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