title: Comparison of biofeedback therapy in children with treatment-refractory dysfunctional voiding and overactive bladder.
abstract: OBJECTIVE
  To evaluate and compare the effectiveness of biofeedback therapy (BF) in children with treatment refractory overactive bladder (OAB) and dysfunctional voiding (DV).
  
  
  METHODS
  This study was performed between April 2012 and March 2014. Patients with treatment refractory OAB and DV were included. All patients had 3 months of BF. Patients' urologic system symptoms and uroflow parameters before BF and 3 months after BF and response rates were compared.
  
  
  RESULTS
  Forty-five patients completed the study. Significant improvement was seen in urinary tract infections, urge incontinence, fractionated voiding, constipation, voided volume, maximum flow rate (Qmax), average flow rate (Qave), and postvoiding residue for patients with DV and in urinary tract infection, frequency, urge incontinence, Qmax, Qave, voiding time, and postvoiding residue for patients with OAB. Overall, better results were observed in patients with DV.
  
  
  CONCLUSIONS
  BF is an effective treatment modality in children with treatment refractory OAB and DV; however, patients with DV show better improvement.
authors: Division of Pediatric Urology, Department of Pediatric Surgery, Marmara University School of Medicine, Istanbul, Turkey. Electronic address: htugtepe@yahoo.com.
authors: Halil
authors: H
authors: Tugtepe
authors: Department of Pediatric Surgery, Pendik State Hospital, Istanbul, Turkey.
authors: David Terence
authors: DT
authors: Thomas
authors: Division of Pediatric Urology, Department of Pediatric Surgery, Marmara University School of Medicine, Istanbul, Turkey.
authors: Raziye
authors: R
authors: Ergun
authors: Department of Pediatric Surgery, Marmara University School of Medicine, Istanbul, Turkey.
authors: Tural
authors: T
authors: Abdullayev
authors: Pediatric Urodynamics and Biofeedback Unit, Division of Pediatric Urology, Department of Pediatric Surgery, Marmara University School of Medicine, Istanbul, Turkey.
authors: Cansu
authors: C
authors: Kastarli
authors: Pediatric Urodynamics and Biofeedback Unit, Division of Pediatric Urology, Department of Pediatric Surgery, Marmara University School of Medicine, Istanbul, Turkey.
authors: Ayten
authors: A
authors: Kaynak
authors: Division of Pediatric Urology, Department of Pediatric Surgery, Marmara University School of Medicine, Istanbul, Turkey.
authors: Tolga E
authors: TE
authors: Dagli
mesh_terms: D001676:Biofeedback, Psychology; D002648:Child; D003248:Constipation / Q000209:etiology / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D019233:Retreatment; D053201:Urinary Bladder, Overactive / Q000150:complications / Q000503:physiopathology / Q000628:therapy*; D053202:Urinary Incontinence, Urge / Q000150:complications / Q000503:physiopathology / Q000628:therapy*; D014552:Urinary Tract Infections / Q000209:etiology; D014563:Urodynamics