Dysfunctional voiding urinary incontinence
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: * Male or female children aged 5-12 years * Has therapy-refractory DV and the next step in treatment is BoNT-A injection * Has received a minimum of five sessions of urotherapy * Has received a minimum of two sessions of pelvic floor muscle physical therapy * Signed informed consent
Exclusion criteria
Exclusion criteria: * Has anatomic abnormalities of the urinary tract * Patients who have received additional treatment: o BoNT-A injections in the detrusor muscle o Appendicovesicostomy o Bladder augmentation * Has a neurogenic disorder * Has a neuromuscular disorder * Has a psychological disorder * Uses products that influence neuromuscular transmission
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| PVR, defined as volume of residual urine in the bladder after voluntary voiding determined through ultrasound, after treatment at predetermined time points compared to baseline. | — |
Secondary
| Measure | Time frame |
|---|---|
| Results after treatment compared to baseline determined at predetermined time points: * Incontinence episodes per day derived from the voiding diary * 24 hour frequency derived from the voiding diary * Number of UTIs: clinical symptoms (pollakiuria, dysuria) combined with a positive dipstick for leucocytes or a positive urine culture * Peak flow in ml/s derived from uroflowmetry * Scores derived from the PINQ and Vancouver SSDES questionnaires * Duration of improvement of voiding pattern and quality of life | — |
Countries
Netherlands