Biofeedback pelvic floor training alone or with medicine for children with dysfunctional voiding

Standard Urotherapy With or Without Biofeedback-Based Pelvic Floor Muscle Training for Dysfunctional Voiding in Children: A Randomized Clinical Study

This will try biofeedback-based pelvic floor muscle training alone or together with medication to see which helps children with dysfunctional voiding the most.

Quick facts

• Phase: NA
• Study type: Interventional
• Enrollment: 124 (estimated)
• Ages: N/A to 18 Years
• Sex: All
• Sponsor: Tanta University (other)
• Locations: 1 site (Tanta, El-Gharbia)
• Trial ID: NCT07149532 on ClinicalTrials.gov

What this trial studies

Dysfunctional voiding in children can cause urgency, frequency, urinary incontinence, and difficulty urinating. This interventional comparison tests biofeedback-based pelvic floor muscle training (PFMT) alone versus PFMT combined with medical treatment. Eligible children under 18 will undergo noninvasive assessments and supervised biofeedback sessions, with one group also receiving medication, and outcomes will track changes in lower urinary tract symptoms and upper tract protection. The trial excludes children with cognitive impairment, prior care for dysfunctional voiding, known anatomic or neurologic urinary anomalies, and those with relevant trauma history.

Who should consider this trial

Good fit: Children under 18 of either sex with a diagnosis of dysfunctional voiding who have no cognitive impairment, no prior treatment for the condition, and no known anatomic or neurologic urinary tract abnormalities are the intended participants.

Not a fit: Children with cognitive impairment, prior treatment for dysfunctional voiding, known anatomical or neurological urinary tract anomalies, or a history of back or lower urinary tract trauma are unlikely to be eligible and may not benefit.

Why it matters

Potential benefit: If successful, the approach could reduce urinary symptoms and lower the need for more invasive treatments or long-term medication in affected children.

How similar studies have performed: Previous pediatric studies of pelvic floor muscle training and biofeedback have shown improvements in lower urinary tract symptoms, although results and protocols have varied across studies.

Eligibility criteria

Inclusion Criteria:

* Children less than 18 years old.
* Both sexes.
* Children with dysfunctional voiding.

Exclusion Criteria:

* Patients with cognitive function impairment.
* Patients who received any care for dysfunctional voiding.
* Children with known anatomical anomalies of the urinary tract.
* Children with known neurological anomalies (spinal dysraphism, multiple sclerosis, lumbar or spinal neuritis……… etc).
* Children with a history of back or lower urinary tract trauma.

Where this trial is running

Tanta, El-Gharbia

• Tanta University — Tanta, El-Gharbia, Egypt (RECRUITING)

Study contacts

• Study coordinator: Mohamed I Elmaadawy, MD

Conditions: Biofeedback, Medical Treatment, Dysfunctional Voiding, Children