Followup of ureterosigmoidostomy diversion for bladder exstrophy--behavioral biofeedback as an alternative treatment for fecal-urinary incontinence: a case report.
A total of 6 children underwent primary ureterosigmoidostomy diversion between 1972 and 1979. Despite preoperative testing of rectal competence all 6 children now experience rectal leakage. Behavioral biofeedback has been used in a 7-year-old boy who had learned to isolate and to contract the perineal muscles appropriately by 12 months of followup. The incidence of incontinence has been reduced from 15 to 5 per cent of the total hours recorded. The amount of waking hours in which the patient is wet has decreased from 31 to 6 per cent. Satisfaction of the child and parents is high.
D001521:Behavior Therapy; D001676:Biofeedback, Psychology; D001746:Bladder Exstrophy / Q000601:surgery*; D002648:Child; D012809:Colon, Sigmoid / Q000601:surgery; D005242:Fecal Incontinence / Q000628:therapy*; D006801:Humans; D008297:Male; D014547:Urinary Diversion; D014549:Urinary Incontinence / Q000628:therapy*