Publications by authors named "Marianne Vijverberg"
Objective: To gain insight into the efficacy and safety of urethral de-obstruction in boys with overactive bladder (OAB) complaints refractory to conservative treatment.
Materials And Methods: All boys, older than 5 years, referred in 2009 for OAB complaints were included, n = 180. Nine had abdominal or penile pain as predominant complaint.
Objective: To reassess the incontinence and urge complaints in adults who had undergone inpatient urotherapy during childhood and compare the results with the short-term outcomes.
Methods: From 1987 to 1990, 95 children (13 boys and 82 girls; age 6-17 years) underwent hospitalized urotherapy to treat functional lower urinary tract symptoms. This group was traced and a questionnaire was administered by telephone.
Aims: This study was conducted to try to objectify assessment of pediatric uroflowmetry curves.
Materials And Methods: Nine professionals in pediatric incontinence care judged 480 pediatric uroflows. On a 1-5 scale, where 1 = anomalous and 5 = normal, uroflows were assessed on four items: staccato, interrupted, flow time and obstruction.
Purpose: To investigate systematically the length of the urethra in girls with lower urinary tract symptoms.
Materials And Methods: In a group of 121 consecutive girls presented at a tertiary referral clinic for urinary incontinence or recurrent urinary tract infections, urethral length was measured by perineal ultrasound. The urethra was measured with the patient in supine position without anesthesia.
Objectives: To investigate the effect of colposuspension on bladder function and urinary incontinence in girls with structural stress incontinence.
Patients And Methods: A Burch colposuspension was performed in 26 incontinent girls for congenital bladder neck insufficiency (10), incontinence after urethrotomy (seven), hypospadias (five) and ectopic ureterocele (four). The indication for surgery was failure of conservative therapy (consisting of cognitive and biofeedback bladder training, physical therapy and/or antimuscarinic drugs in 23 children) and a severe anatomical defect of the bladder outlet in three.
Article Synopsis
- - The study aimed to assess behavioral disorders in children with urinary incontinence due to nonneuropathic bladder-sphincter dysfunction before and after treatment.
- - Out of 202 enrolled children, those treated showed a significant decrease in total behavior problems, dropping from 19% to 11%, with particularly notable improvements in the dysfunctional voiding group.
- - While behavioral problems were more prevalent in the dysfunctional voiding group, treatment effectively normalized total behavior and externalizing problems, but internalizing issues showed no significant change.
Objectives: To describe the use of colonic washout enemas for persistent constipation in children treated for dysfunctional voiding by cognitive and biofeedback training.
Methods: We treated 50 children, who had dysfunctional voiding and persistent dilatation of the rectum notwithstanding adequate oral laxatives, with colonic washout enemas. We performed retrograde filling of the rectum with 20 mL/kg water, starting once daily for 2 weeks, then 3 times per week for 6 to 12 months.
Objectives: Dynamic perineal ultrasonography to assess the function of the pelvic floor muscles in children with micturition complaints shows that many children with daytime incontinence or recurrent urinary tract infections use their pelvic floor paradoxically. They strain when asked to withhold urine, or they have no voluntary control of the pelvic floor muscles at all. The aim of this study was to record the pelvic floor function and evaluate the physical therapy regimens for children with dysfunctional voiding (DV) and paradoxical pelvic floor function.
View Article and Find Full Text PDFObjective: To clarify the relationship between disordered defecation and non-neuropathic bladder-sphincter dysfunction (NNBSD) by comparing the prevalence of symptoms of disordered defecation in children with NNBSD before and after treatment for urinary incontinence (UI), and assessing the effect of such symptoms on the cure rate for UI.
Patients And Methods: In the European Bladder Dysfunction Study, a prospective multicentre study comparing treatment plans for children with NNBSD, 202 children completed questionnaires on voiding and on defecation, at entry and after treatment for UI. Four symptoms of disordered defecation were evaluated; low defecation frequency, painful defecation, fecal soiling, and encopresis.
Objectives: To investigate the reliability of examination of the guarding reflex of the pelvic floor by dynamic perineal ultrasonography in children with bladder dysfunction and in controls.
Methods: A total of 40 patients with nonneurogenic bladder/sphincter dyssynergia, 40 with spina bifida, and 40 controls underwent a dynamic ultrasound examination of the pelvic floor while coughing and while being tapped on the abdominal wall. The reflex action of the puborectal muscle in females, and the combined action of the puborectal muscle and external sphincter muscle in males, were recorded.
Purpose: We studied the added value of home uroflowmetry for biofeedback training compared to added attention and standard therapy in a multicomponent behavioral training program for voiding disorders in school-age children. Little is known about the role of biofeedback by home uroflowmetry for dysfunctional voiding due to NNBSD in children.
Materials And Methods: A randomized controlled study was conducted at an outpatient pediatric incontinence university clinic from January 2000 to June 2003.
Purpose: We proved the accuracy of the transverse diameter of the rectum on ultrasonography as an additional parameter for diagnosing constipation in children with lower urinary tract dysfunction.
Materials And Methods: The diameter of the rectum on bladder ultrasonography in a constipated group of patients with dysfunctional voiding was compared to this diameter in a control group of patients with a normal defecation pattern. A total of 49 children were included.