Porena M, Costantini E, Rociola W, Mearini E
Urology Department, University of Perugia, Perugia, Italy.
J Urol. 2000 Jun;163(6):1927-31.
We assessed the efficacy of voiding and bladder biofeedback for achieving perineal synergy and curing symptoms in children with detrusor-sphincter dyssynergia
A total of 16 boys and 27 girls 4 to 14 years old with detrusor-sphincter dyssynergia diagnosed by uroflowmetry and electromyography underwent biweekly voiding biofeedback therapy consisting of perineal floor electromyography during uroflowmetry. The 6 patients with enuresis and an unstable bladder also underwent bladder biofeedback training during cystometry. Biofeedback continued until detrusor-sphincter dyssynergia resolved. Followup consisted of electromyography and uroflowmetry 1 month after completing biofeedback training, and telephone interviews after 2 and 4 years.
Biofeedback resolved detrusor-sphincter dyssynergia in all children, although the condition disappeared significantly sooner in girls (p <0.02). Secondary enuresis disappeared significantly earlier than primary enuresis (p <0.0001). The 2-year success rate of 87.18% for enuresis decreased to 80% at the 4-year followup.
Voiding and bladder biofeedback achieves perineal synergy and cures symptoms in children with detrusor-sphincter dyssynergia
我们评估排尿和膀胱生物反馈疗法对逼尿肌-括约肌协同失调患儿实现会阴协同作用及缓解症状的疗效。
通过尿流率测定和肌电图诊断为逼尿肌-括约肌协同失调的16名4至14岁男孩和27名女孩，每两周接受一次排尿生物反馈治疗，治疗包括尿流率测定时的盆底肌电图。6名患有遗尿症和膀胱不稳定的患者在膀胱测压期间也接受了膀胱生物反馈训练。生物反馈治疗持续进行，直至逼尿肌-括约肌协同失调症状消失。随访包括在完成生物反馈训练1个月后进行肌电图和尿流率测定，以及在2年和4年后进行电话访谈。
生物反馈疗法使所有患儿的逼尿肌-括约肌协同失调症状消失，不过女孩症状消失的时间明显更早（p<0.02）。继发性遗尿症消失的时间明显早于原发性遗尿症（p<0.0001）。遗尿症的2年成功率为87.18%，在4年随访时降至80%。
排尿和膀胱生物反馈疗法可使逼尿肌-括约肌协同失调患儿实现会阴协同作用并缓解症状
