Abstract | OBJECTIVE: To verify and compare the results of behavioral modification plus pelvic floor muscle training and behavioral modifications plus oxybutynin chloride in children with nonmonosymptomatic enuresis. METHODS: A total of 47 children were randomized using opaque and sealed envelopes sequentially numbered. Group I was composed of 21 children who underwent antimuscarinic treatment ( oxybutynin), and Group II was composed of 26 patients who underwent pelvic floor muscle training. Both groups were instructed as to behavioral modifications. RESULTS: The voiding diary results were compared each month between Groups I and II. In the first month of treatment, children in Group I presented 12.2 dry nights, 13.4 in the second month, and 15.9 in the last month. In Group II, the results were: 14.9 dry nights in the first month, 20.8 dry nights in the second and 24.0 dry nights in the last month. There was a significant difference between the groups in second and third months. CONCLUSION: Pelvic floor exercises associated with behavioral changes were more effective than pharmacological treatment in children with urinary incontinence.
|
Authors | Renata Martins Campos, Antonio Gugliotta, Osamu Ikari, Maria Carolina Perissinoto, Adélia Correia Lúcio, Ricardo Miyaoka, Carlos Arturo Levi D'Ancona |
Journal | Einstein (Sao Paulo, Brazil)
(Einstein (Sao Paulo))
2013 Apr-Jun
Vol. 11
Issue 2
Pg. 203-8
ISSN: 2317-6385 [Electronic] Brazil |
PMID | 23843062
(Publication Type: Comparative Study, Journal Article, Randomized Controlled Trial)
|
Chemical References |
- Mandelic Acids
- Muscarinic Antagonists
- Urological Agents
- oxybutynin
|
Topics |
- Child
- Child, Preschool
- Combined Modality Therapy
- Exercise Therapy
(methods)
- Female
- Humans
- Male
- Mandelic Acids
(therapeutic use)
- Muscarinic Antagonists
(therapeutic use)
- Muscle Contraction
(physiology)
- Muscle Strength
(physiology)
- Pelvic Floor
- Prospective Studies
- Urinary Incontinence
(therapy)
- Urological Agents
(therapeutic use)
|