CUA GL 2020 management of bladder and bowel Dysfunction in children

Question 1

Urotherapy/bladder retraining with timer to assist scheduled voiding is not recommended over the same treatment without timer.

Answer 1

WRONG

Urotherapy/bladder retraining with timer to assist scheduled voiding is recommended over
the same treatment without timer. (improves the number of wet days)

Question 2

Face to face (group or individual) bladder retraining and video instructions are equally
effective

Answer 2

True

Question 3

In children with……….. addition of biofeedback to standard urotherapy is
beneficial.

Answer 3

underactive bladder ( more voids, less residual)

Question 4

Biofeedback in children with ……. BBD is not associated with improved outcomes.

Answer 4

other types of (other than underactive bladder)

Question 5

Addition of ………. to urotherapy has a beneficial effect on
resolution of daytime incontinence in children with dysfunctional voiding

Answer 5

pelvic floor muscle physiotherapy

there was no different in likelihood of UTIs and enuresis

Question 6

PS-TENS as an effective adjunct to urotherapy or oxybutynin

for overactive bladder is recommended

Answer 6

WRONG!
No evidence to support PS-TENS as an effective adjunct to urotherapy or oxybutynin
for overactive bladder.

Question 7

TENS may be useful in management of …………., by

reducing the number of wet days

Answer 7

refractory urge incontinence in short term

Question 8

What is the role of Inferential Transcutaneous Electrical Nerve Stimulation in management of children with underactive bladder?

Answer 8

Inferential Transcutaneous Electrical Nerve Stimulation may increase the voiding frequency
and uroflowmetric parameters (e.g PVR) in short term, however, there is no evidence it is
more effective than urotherapy in long term management of children with underactive
bladder.

Question 9

Solifenacin: May increase …….. in children with
overactive bladder, but it may not be different from placebo in improving incontinence
or number of daily voids

Answer 9

the mean and maximum voided volumes

Question 10

…….May increase mean voided volumes and modestly reduce daily frequency
compared to placebo in children with overactive bladder.

Answer 10

Propiverine:

Question 11

Tolterodine extended release may result in a small decrease in …….. in
children with overactive bladder when
compared to placebo.

Answer 11

urge incontinence (average 1.4 incontinence episodes per week)

Question 12

oxybutynin is better than cognitive therapy in cure rate of children with overactive bladder.

Answer 12

WRONG!
We found no evidence of difference between oxybutynin and cognitive therapy in cure
rate of incontinence in children with overactive bladder

Question 13

what is usually included in urotherapy

Answer 13

timed voiding, fluid intake and dietary strategies, management of constipation