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Voiding school effective in kids with refractory OAB

25 Jun 2020

Inpatient bladder rehabilitation programmes, also called voiding school, leads to long-term improvements in children with refractory overactive bladder (OAB), a new study has found.

Accessing the charts of 357 OAB children (mean age, 9.7±2.0 years; 63.6 percent boys), researchers examined the effect of attending voiding school on the primary outcome of becoming dry, defined as having less than 2 wet days and/or nights per month. Other outcomes included changes in the maximal voided volume (MVV), as well as day- and night-time voiding scores.

Thirteen children were dry after the end of voiding school, yielding a prevalence rate of 3.6 percent. This was accompanied a significant drop in the total number of wet nights and wet days, as compared with baseline (p<0.0001 for both).

Three months after voiding school, 327 participants were available for follow-up. Of these, 14.1 percent (n=46) had achieved dryness during the day and night. Six months after voiding school, this percentage climbed further to 33.5 percent.

At both time points, the total number of wet days and nights dropped significantly (p<0.001), such that by month 6, there were approximately 4 additional dry days and/or nights per week relative to when participants entered voiding school.

Boys seemed to derive less benefit from voiding school, having a higher number of wet nights per week and a lower MVV than girls. Those <8 years of age also saw weaker improvements in terms of the number of wet days or nights. The same was true for those with dysfunctional voiding, faecal incontinence, and nocturnal polyuria.

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Most Read Articles
Yesterday
High-frequency use of cannabis appears to worsen clinical pain and associated symptoms among chronic pain patients, a recent study has found.
Jairia Dela Cruz, 4 days ago
In patients with heart failure with reduced ejection fraction (HFrEF) receiving angiotensin-converting-enzyme (ACE) inhibitors, high dosing confers benefits for the risk of death or hospitalization that are similar to that obtained with lower dosing, according to a systematic review and meta-analysis.
21 hours ago
Women with pre-eclampsia are at higher risk of developing heart failure, a study suggests.
06 Sep 2020
Type 2 diabetes mellitus patients taking proton pump inhibitors (PPIs) are at a higher risk of sustaining hip fractures, a recent study has found.