Gisela Maria Assis1, Camilla Pinheiro Cristaldi da Silva2, Gisele Martins3. 1. Affiliate Member in the Associação Brasileira de Estomaterapia (SOBEST), São Paulo, SP, Brazil; Universidade de Brasília (UnB), Departamento de Enfermagem, Brasília, DF, Brazil; Universidade Federal do Paraná (UFPR), Hospital de Clínicas (HC), Equipe de Estomaterapia, Curitiba, PR, Brazil. Electronic address: giassis21@hotmail.com. 2. Affiliate Member in the Associação Brasileira de Estomaterapia (SOBEST), São Paulo, SP, Brazil; Pontifícia Universidade Católica do Paraná (PUC/PR), Pós-graduação em Estomaterapia, Curitiba, PR, Brazil. 3. Universidade de Brasília (UnB), Departamento de Enfermagem, Brasília, DF, Brazil; Affiliate Member in the Society for Pediatric Urology (SPU), United States.
Abstract
OBJECTIVE: To identify and describe the protocols and clinical outcomes of urotherapy interventions in children and adolescents with bladder bowel dysfunction. METHOD: Systematic review carried out in June 2018 on Medical Literature Analysis and Retrieval System Online (MEDLINE), Cumulative Index to Nursing and Allied Health Literature (CINAHL),Excerpta Medica dataBASE (EMBASE), Scientific Electronic Library Online (SciELO), Cochrane Library, and PsycInfo databases. Clinical trials and quasi-experimental studies carried out in the last ten years in children and/or adolescents with bladder and bowel symptoms and application of at least one component of urotherapy were included. RESULTS: Thirteen clinical trials and one quasi-experimental study were included, with moderate methodological quality. The heterogeneity of the samples and of the methodological design of the articles prevented the performance of a meta-analysis. The descriptive analysis through simple percentages showed symptom reduction and improvement of uroflowmetry parameters. The identified urotherapy components were: educational guidance, water intake, caffeine reduction, adequate voiding position, pelvic floor training, programmed urination, and constipation control/management. CONCLUSION: This review indicates positive results in terms of symptom reduction and uroflowmetry parameter improvement with standard urotherapy as the first line of treatment for children and adolescents with bladder bowel dysfunction. It is recommended that future studies bring contributions regarding the frequency, number, and time of urotherapy consultations.
OBJECTIVE: To identify and describe the protocols and clinical outcomes of urotherapy interventions in children and adolescents with bladder bowel dysfunction. METHOD: Systematic review carried out in June 2018 on Medical Literature Analysis and Retrieval System Online (MEDLINE), Cumulative Index to Nursing and Allied Health Literature (CINAHL),Excerpta Medica dataBASE (EMBASE), Scientific Electronic Library Online (SciELO), Cochrane Library, and PsycInfo databases. Clinical trials and quasi-experimental studies carried out in the last ten years in children and/or adolescents with bladder and bowel symptoms and application of at least one component of urotherapy were included. RESULTS: Thirteen clinical trials and one quasi-experimental study were included, with moderate methodological quality. The heterogeneity of the samples and of the methodological design of the articles prevented the performance of a meta-analysis. The descriptive analysis through simple percentages showed symptom reduction and improvement of uroflowmetry parameters. The identified urotherapy components were: educational guidance, water intake, caffeine reduction, adequate voiding position, pelvic floor training, programmed urination, and constipation control/management. CONCLUSION: This review indicates positive results in terms of symptom reduction and uroflowmetry parameter improvement with standard urotherapy as the first line of treatment for children and adolescents with bladder bowel dysfunction. It is recommended that future studies bring contributions regarding the frequency, number, and time of urotherapy consultations.
Authors: Katie Whale; Lucy Beasant; Anne J Wright; Lucy Yardley; Louise M Wallace; Louise Moody; Carol Joinson Journal: JMIR Pediatr Parent Date: 2021-11-15