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Pelvic Floor Rehabilitation and Biofeedback

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Book cover Clinical Urodynamics in Childhood and Adolescence

Part of the book series: Urodynamics, Neurourology and Pelvic Floor Dysfunctions ((UNPFD))

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Abstract

Pelvic floor rehabilitation and biofeedback have gained an important role in the treatment of lower urinary tract dysfunction in children in the past 20 years. Since the identification and classification by the International Children’s Continence Society of different types of functional dysfunction of the lower urinary tract, the same instrumentation used to make the diagnosis has been used to correct inappropriate behavior. This has gradually led to avoidance of invasive procedures and commencement of rehabilitation with simple methods, gaining more confidence and motivation from children and families. The good results have been rapidly increasing the indications and expanding the modalities to approach the different types of dysfunction. Unfortunately only a few randomized controlled and prospective studies have clearly demonstrated the validity of this approach, and further evaluations in this field should be done. Nevertheless, nowadays the majority of children unresponsive to standard urotherapy can be treated and cured with pelvic floor muscle rehabilitation and/or biofeedback. Only a few cases are still refractory and need further treatment such as psychotherapy, pharmacological therapy, electrical stimulation, or surgery.

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Author information

Authors and Affiliations

  1. Department of Urology and Spinal Unit, Hospital of Legnano, Legnano, Italy

    Sandro Danilo Sandri

  2. Department of Urology and Spinal Unit, Hospital of Magenta, Milan, Italy

    Sandro Danilo Sandri

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  1. Sandro Danilo Sandri
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Correspondence to Sandro Danilo Sandri .

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Editors and Affiliations

  1. Pediatric NeuroUrology Research and Clinic, Bambino Gesù Pediatric Hospital, Rome, Italy

    Giovanni Mosiello

  2. Neurourology Department, Careggi Hospital, Florence, Italy

    Giulio Del Popolo

  3. Pediatric Urodynamic Center, First Affiliated Hospital of Zhengzhou University, Zhengzhou, China

    Jian Guo Wen

  4. Urology Unit, Bambino Gesù Pediatric Hospital, Rome, Italy

    Mario De Gennaro

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Sandri, S.D. (2018). Pelvic Floor Rehabilitation and Biofeedback. In: Mosiello, G., Del Popolo, G., Wen, J., De Gennaro, M. (eds) Clinical Urodynamics in Childhood and Adolescence. Urodynamics, Neurourology and Pelvic Floor Dysfunctions. Springer, Cham. https://doi.org/10.1007/978-3-319-42193-3_26

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  • DOI: https://doi.org/10.1007/978-3-319-42193-3_26

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  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-319-42193-3

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