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Bladder training video not inferior to urotherapy for bladder/bowel dysfunction

17 Mar 2017

The bladder training video appears to be as effective as standard urotherapy in reducing bladder/bowel symptoms in children, according to a recent study.

“The video allows families to have free access to independently review bladder training concepts as often as necessary,” researchers said.

To assess the effectiveness of an animated bladder training video, a noninferiority randomized, controlled trial was performed involving patients (aged 5 to 10 years) who scored >11 on the bladder/bowel Vancouver questionnaire. Children with vesicoureteral reflux, neuropathic bladder, learning disabilities, recent urotherapy or primary nocturnal enuresis were excluded from analysis.

Researchers randomized patients to receive either standard urotherapy or watch a bladder training video in clinic using centralized blocked randomization schemes. Then, they assessed bladder/bowel symptoms at baseline and 3-month follow-up by intent-to-treat analysis.

A sample size of 150 patients ensured a 3.5 difference in mean symptomology scores between the groups, which was accepted as the noninferiority margin.

Of the enrolled patients, a total of 143 (95 percent) completed the trial, five (4 percent) were lost to follow-up and 2 (1 percent) withdrew from the study. Baseline characteristics between the two groups were similar.

Baseline mean symptomology score was for 19.9 for the bladder training video and 19.7 for standard urotherapy. The mean symptomology scores at 3 months were reduced to 14.1 and 13.8 for the bladder training video and standard urotherapy, respectively (p=0.54). The mean difference was 0.6 (95 percent CI, ‒1.4 to ‒2.6).

“The upper 95 percent CI limit of 2.6 did not exceed the preset 3.5 noninferiority margin,” according to researchers.

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Most Read Articles
Elvira Manzano, 4 days ago
Bisphosphonates have proven antifracture efficacy and remain to be the cornerstone of osteoporosis treatment. However, a drug holiday is of particular importance with bisphosphonates due to some signals with long-term use of the drug, including rare incidence of atypical femoral fracture (AFF) and osteonecrosis of the jaw (ONJ), says a leading endocrinologist at AFOS 2017.
Yesterday
Breast cancer patients have notably different microbiomes in the local breast tissue and urinary tract, a recent study reveals. Particularly, species in the Methylobacterium genus are reduced in the local breast tissue while the urinary tract is enriched in gram-positive bacteria.
Pearl Toh, 13 Oct 2017
Women with higher plasma tryptophan concentrations were less likely to have poor sleep quality during pregnancy, especially among those with anxiety symptoms, according to the GUSTO* study.
Tristan Manalac, Yesterday
Statin use, particularly in smokers, obese patients and nondiabetics, has a strong and dose-dependent association with decreasing risk of pancreatic ductal adenocarcinoma (PDAC), according to a new study.