Bowel Management and Standard Urotherapy in Pediatric Bladder and Bowel Dysfunction

Does adding standard urotherapy to bowel management improve daytime urinary incontinence in children with bladder and bowel dysfunction?In this randomized clinical trial of 94 children, 12 weeks of bowel management reduced the risk of a wet day from 0.75 to 0.54 and to 0.55 when combined with urotherapy. Children achieving constipation resolution had greater reductions.These findings suggest that bowel management alone is an effective first-line intervention for daytime urinary incontinence in children with bladder and bowel dysfunction, and adding urotherapy at treatment initiation does not provide additional benefit.

Corresponding Author: Sofie Axelgaard, MD, Department of Paediatrics and Adolescent Medicine, Gødstrup Hospital, Hospitalsparken 15, 7400 Herning, Denmark (sofiaxel@rm.dk).

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