Document Detail


Pelvic floor spasms in children: an unknown condition responding well to pelvic floor therapy.
MedLine Citation:
PMID:  15474278     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: During a study period of 4 years, 21 children are seen for night time pelvic pain. These children typical wake up in the middle of the night with severe lower abdominal or perineal pain. During day some of them suffer urge syndrome. During urodynamic investigation extremely high pelvic floor activity as recorded by high urethral pressure was observed in these children. We therefore started pelvic floor relaxation biofeedback in these children. METHODS: All children diagnosed with pelvic floor spasms underwent biofeedback pelvic floor relaxation therapy in order to learn them to counteract pelvic pain due to these spasms. In those girls in whom detrusor hyperactivity was seen on urodynamics concomitant anticholinergic treatment was given (oxybutynin). RESULTS: Between January 1998 and January 2002 symptomatic pelvic floor spasms were diagnosed in 21 children (19 girls/2 boys). Pelvic floor relaxation biofeedback was successful for treatment of this condition in 17 of 21 children. Mean duration of therapy was 3 months (12 weekly sessions) and on long term follow-up relapse was seen in 3 of 17 successfully treated children. 10 of 17 successfully treated children received anticholinergics. CONCLUSION: Pelvic floor spasms in children (which can be secondary to detrusor overactivity) respond well to pelvic floor relaxation therapy.
Authors:
Piet Hoebeke; Erik Van Laecke; Catherine Renson; Ann Raes; Joke Dehoorne; Pieter Vermeiren; Johan Vande Walle
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European urology     Volume:  46     ISSN:  0302-2838     ISO Abbreviation:  Eur. Urol.     Publication Date:  2004 Nov 
Date Detail:
Created Date:  2004-10-11     Completed Date:  2005-02-10     Revised Date:  2009-11-19    
Medline Journal Info:
Nlm Unique ID:  7512719     Medline TA:  Eur Urol     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  651-4; discussion 654     Citation Subset:  IM    
Affiliation:
Department of Paediatric Urology, Ghent University Hospital, De Pintelaan 185, B-9000 Gent, Belgium. Piet.Hoebeke@ugent.be
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MeSH Terms
Descriptor/Qualifier:
Biofeedback, Psychology / methods*
Child
Electromyography
Female
Humans
Male
Pelvic Floor*
Pelvic Pain / physiopathology,  rehabilitation*
Prospective Studies
Urination Disorders / physiopathology,  rehabilitation*
Urodynamics

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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