Clinical observation of electrical stimulation biofeedback therapy in treatment of urinary incontinence in children / 中华实用儿科临床杂志

ABSTRACT

Objective:To explore the therapeutic effect of electrical stimulation biofeedback in children with different types of urinary incontinence.Methods:A total of 20 children with stress urinary incontinence admitted to the Department of Pediatric Surgery, the First Affiliated Hospital of Xinxiang Medical University from October 2010 and June 2019 were enrolled in this study and treated by electrical stimulation biofeedback twice a week, with 5 weeks as a course of treatment.There were 12 males and 8 females aged 2.5-7.0.Nine cases developed urinary incontinence after spina bifida operation, 6 cases developed urinary incontinence after high anal atresia operation and 5 cases were non-neurogenic urinary incontinence.The frequency of involuntary urination, urinary volume and the voltage of pelvic floor muscles were compared before and after treatment.Results:After 1 course of treatment, 10 cases (50.00%) of urinary incontinence were cured, 4 cases (20.00%) were effective, and 6 cases (30.00%) were ineffective.Among the 6 patients developing urinary incontinence after high anal atresia operation, 5 cases (83.33%) were cured and 1 case (16.67%) was effective.Of 9 cases developing urinary incontinence after spina bifida operation, 3 cases (33.33%) were effective.All 5 cases with non-neurogenic urinary incontinence (100.00%) were cured.The voltage of pelvic floor muscles was increased from (20.36±3.92) μV before electrical stimulation biofeedback therapy to (36.44±7.57) μV after treatment, and the difference was statistical significance ( t=10.68, P<0.05). Conclusions:Electrical stimulation biofeedback therapy is effective for children with urinary incontinence.