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14:36 - 14:40
ICCS S1-8
(SO)
PELVIC-FLOOR THERAPY IN CHILDREN AND ADOLESCENT WITH GIGGLE
INCONTINENCE
Maria Luisa CAPITANUCCI
1
, Giuseppina DI SERIO
1
, Francesca MUSCIAGNA
1
, Sabrina ROSSI
1
, Elena BERNARDI
1
,
Giovanni MOSIELLO
1
and Mario DE GENNARO
2
1) Children's Hospital Bambino Gesu', Dep. Urology and Nephrology, Roma, ITALY - 2) Children's Hospital Bambino
Gesu', Dep. Urology and Nephrology, Robotic Surgery and Urodynamics Unit, Roma, ITALY
PURPOSE
To evaluate efficacy of pelvic-floor therapy (PFT) in children and adolescent with Giggle Incontinence (GI)
MATERIAL AND METHODS
In the last 3 years, 15 (5 male and 10 female) patients with GI were observed. Before to start PFT, all patients
underwent bladder diary, flowmetry with EMG of the pelvic floor and ultrasound postvoiding residual urine evaluation
(PVR). PFT consisted in, at least, 3 sessions (1 session/month) ofcognitive and behavioural therapy andphysiotherapyof
pelvic floor muscles by means of exercises to develop ability to isolate, contract and relax perineal muscles. Patients
were instructed to perform daily exercises at home between sessions. Bowel management was added in children with
associated constipation. Results on GI were assessed at the end of PFT. Student t test and Chi square test were applied
for statistical comparison.
RESULTS
Three patients had been previously treated with anthicholinergics without results. Non invasive urodynamic evaluation
showed voiding postponement in 2 males and dysfunctional voiding in 5 females;in none, types of urinary incontinence
different from GI were found. Average age at PFT was 10.6 years in males and 12.1 years in females (p=0.45). Mean
number of PFT sessions was 6 in males and 4.2 in females (p=0.01). Ten (1 male and 8 females, p=0.003) patients
showed improvement of GI after PFT
CONCLUSIONS
PFT is useful to treat GI in children and adolescent. Since PFT seems to be more effective in girls than in boys, it should
be considered before pharmacotherapy especially in female patients