Bladder rehabilitation, the effect of a cognitive training programme on urge incontinence.
OBJECTIVE
To assess the effectiveness of a 10-day inpatient treatment programme for persistent urge incontinence based on behavior modification via biofeedback of micturition behavior.


METHODS
95 patients aged 6-17 (86 girls, 9 boys) with documented and persistent urge incontinence, with or without dysfunctional voiding, mostly based on recurrent urinary tract infections, and at least a 1 year lasting failure of standard regimen and pharmacological therapy, were 'cognitively' treated. After 6 months the patients were evaluated for flow pattern, number of wet incidents, micturition frequency and urge compliants.


RESULTS
65 patients (68.4%) obtained good results, 12 (12.6%) showed average improvement, 18 patients (19%) did not improve.


CONCLUSIONS
This cognitive noninvasive treatment programme seems promising in its effectiveness and compares favorably with existing biofeedback methods based on urodynamic procedures, although expensive by its inpatient status. Further study towards an outpatient implementation is needed.
Vijverberg
M A
MA
Department of Pediatric Psychology, University Hospital for Children and Youth Het Wilhelmina Kinderziekenhuis, Utrecht, The Netherlands.
Elzinga-Plomp
A
A
Messer
A P
AP
van Gool
J D
JD
de Jong
T P
TP
D001676:Biofeedback, Psychology; D002648:Child; D015928:Cognitive Behavioral Therapy; D005260:Female; D005500:Follow-Up Studies; D006760:Hospitalization / Q000191:economics; D006801:Humans; D008297:Male; D013997:Time Factors; D014039:Toilet Training; D016896:Treatment Outcome; D014549:Urinary Incontinence / Q000517:prevention & control / Q000534:rehabilitation*