Cognitive Behavioral Therapy on the Basis of Urotherapy
Urotherapy is described as a therapy that is intended for children with lower urinary tract syndrome (LUTS) in order to improve the dysfunction of the bladder. It is a combination of cognitive, behavioral, and physical training. The purpose of the urotherapy is to normalize voiding pattern and prevent functional damage of the kidneys. Therefore, as a basic guidance it always started with explanation of the bladder function and dysfunction. Understanding of the problem helps for further motivation for treatment. Account shall be taken of the total process of clean fill to be emptying the bladder. The program is divided into standard therapy and specific interventions, such as pelvic floor training, behavior training, and biofeedback training. Explanation and instruction, in combination with drug treatment of constipation and urinary tract infection, physical therapy, and feedback can be part of the treatment.
In addition to instruction on relaxation of the pelvic floor, micturition frequency, and drinking pattern, there must also be a change in behavior, in which the child learns differently and more consciously to react to pressure and wet incidents. Repetition and ratification are a part of the therapy.
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