The role of Physical and Rehabilitation Medicine in Lower Urinary Tract Dysfunction in Pediatric Age
DOI:
https://doi.org/10.25759/spmfr.534Keywords:
Lower Urinary Tract Dysfunction, Physical Medicine and Rehabilitation, Children, Pelvic Rehabilitation, Urotherapy, BiofeedbackAbstract
Lower urinary tract (LUT) dysfunction in pediatric patients is one of the most common reasons for consultation in pediatric urology and nephrology, affecting up to 40% of children assessed in these consultations.LUT dysfunctions are frequently associated with various comorbidities, such as recurrent urinary tract infections, vesicoureteral reflux, renal injury, constipation, among others. Moreover frequently contribute to social stigmatization, particularly during school age. Early identification and appropriate treatment of these conditions are crucial to mitigating their associated negative impacts. Physical and Rehabilitation Medicine (PRM), which includes interventions such as urodynamic evaluation, bladder training, and pelvic rehabilitation, traditionally applied to adult populations, can play a pivotal role in supporting medical specialties that manage LUT dysfunction in children. PRM contributes to both diagnosis and therapy, aiming to enhance bladder function and, consequently, improve the quality of life of affected children, while also preventing potential long-term sequelae in adulthood.Downloads
References
Rosier PF, Schaefer W, Lose G, et al. International Continence Society. Good urodynamic practices and terms 2016: urodynamics, uroflowmetry, cystometry, and pressure-flow study. Neurotrol Urodyn. 2017;36:1243–1260. doi:10.1002/nau.23131
Nieuwhof-Leppink AJ, Hussong J, Chase J, Larsson J, Renson C, Hoebeke P, Yang S, von Gontard A. Definitions, indications and practice of urotherapy in children and adolescents: a standardization document of the International Children’s Continence Society (ICCS). J Pediatr Urol. 2021;17(5):598–606. doi:10.1016/j.jpurol.2021.07.010
Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, et al. The standardisation of terminology in lower urinary tract function: report from the standardisation sub-committee of the International Continence Society. Urology. 2003;61:37–49. doi:10.1016/s0090-4295(02)02243-4
Schaefer W, Abrams P, Lao L, Matilasson A, Pesce F, Spanpieg A, et al. Good urodynamic practices: uroflowmetry, filling cystometry, and pressure-flow studies. Neurotrol Urodyn. 2002;21:261–274. doi:10.1002/nau.10077
Tekgül S, Riedmiller H, Gerharz E, et al. Guidelines on Paediatric Urology. European Association of Urology (EAU); 2022. Available from: https://d56bochluxqnz.cloudfront.net/documents/full-guideline/EAU-Guidelines-on-Paediatric-Urology-2022.pdf
Chapple CR, MacDiamid SA, Patel A. Urodynamics Made Easy. 3rd ed. New York: Churchill Livingstone; 2009.
Esposito C, Guys JM, Gough D, Savanelli A. Pediatric Neurogenic Bladder Dysfunction. Diagnosis, Treatment, Long-Term Follow-Up. Springer; 2006.
Austin PF, Bauer SB, Bower W, et al. The standardization of terminology of lower urinary tract function in children and adolescents: update report from the standardization committee of the International Children’s Continence Society. J Urol. 2014;191:1863–1872. doi:10.1016/j.juro.2013.11.013
Neveus T, von Gontard A, Hoebeke P, et al. The standardization of terminology of lower urinary tract function in children and adolescents: report from the standardization committee of the International Children’s Continence Society. J Urol. 2006;176(1):314–324. doi:10.1016/j.juro.2006.02.023
Nieuwhof-Leppink A, Larsson J, Holmdahl G, Goyal A. Libro de Uroterapia - Una aproximación basada en casos clínicos. ESPU, ESPU-N, ICCS; 2022.
Kopru B, Ergin G, Eblioglu T, Kibar Y. Does biofeedback therapy improve quality of life in children with lower urinary tract dysfunction: parents' perspective. J Pediatr Urol. 2020;16(1):38.e1–38.e7. doi:10.1016/j.jpurol.2019.11.014
Logan BL, Blais S. Giggle incontinence: evolution of concept and treatment. J Pediatr Urol. 2017;13(5):430–435. doi:10.1016/j.jpurol.2017.04.021
Robert JF, Charron PBP, Beaudoin Y, Frank DH, Biswas MDG, Lingeman JMMM. Bladder and bowel dysfunction in children: an update on the pathophysiology, diagnosis, and management. Eur Urol. 2017;71(5):816–823. doi:10.1016/j.eururo.2016.12.038
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Revista da Sociedade Portuguesa de Medicina Física e de Reabilitação
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright statement
Authors must also submit a copyright statement (as seen below) on article submission.
To the Editor-in-chief of the SPMFR Journal:
The below signed author(s) hereby state that the article
________________________________________ (ref. MFR_________) is
an original unpublished work and all facts stated are a product of the author(s) investigation. This article does not violate any copyright laws or privacy statements. The author(s) also hereby confirm that there is no conflict of interest's issues in this article.
By submitting this article the author(s) agree that after publication all copyrights belong to the SPMFR Journal.
Signed by all authors
Date:
Names (capital letters):
Signatures:
The SPMFR Journal’s contents are follow a Creative Commons licence. After publication the authors can hand out the articles as long as the SPMFR Journal is credited.
