Behavioral therapy and pelvic floor muscle training in the treatment of infantile insensible urinary incontinence: A case report

Abstract

[Purpose] The purpose of this study was to evaluate the efficacy of behavioral therapy and pelvic floor muscle training in the treatment of a 5 year-old female child presenting insensible urinary incontinence (IUI) symptoms. [Subjects and Methods] Outcome measures included a voiding diary to quantify symptoms and urinary frequency, and surface electromyography was measured at the beginning and end of the treatment. Behavioral therapy included the provision of information regarding hygiene habits, voiding position, the anatomical and physiological basis of urinary incontinence, and bladder training using a voiding diary on a specified schedule. Pelvic floor muscle training was performed in different positions using sets of sustained and fast contractions. The child received training in a total of 25 sessions. [Results] The child showed improvement of symptoms according to the voiding diary and electromyographic values. [Conclusion] Behavior therapy and pelvic floor muscle training following to our protocol may have improved the symptoms of IUI in this child.