Treatment of Vesical Sphincter Dyssynergia in Children Using Emg-biofeedback – Results of a 2 Year Follow-up Study

Hypothesis / aims of study Non-neurogenic lower urinal tract dysfunctions (NNLUTDs) in childhood usually manifest themselves by urinal infections in conjunction with urinal incontinence. It is believed that some of the methods children use to achieve bladder control are the source of many problems. Some children learn to retain urination by contracting the sphincter, rather than relaxing it while contracting the detrusor, causing an increase of vesical pressure and incomplete evacuation of the bladder and leading to a functional obstruction of bladder evacuation [1]. EMG-Biofeedback uses equipment that monitors muscular activity (pelvic and abdominal) and shows these data to the patient instantaneously and continuously, in the form of visual and/or auditive signals. The child learns to contract and relax the musculature of the pelvic floor and uses this knowledge during urination [2].