{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T09:21:58Z","timestamp":1787563318587,"version":"build-2736575974"},"reference-count":15,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,10,23]],"date-time":"2018-10-23T00:00:00Z","timestamp":1540252800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Pelvic Floor Biofeedback Therapy (PFBT) can be an effective treatment for pediatric lower urinary tract symptoms (LUTS). Due to differing perceptions of efficacy and practice patterns, we sought to further evaluate PFBT in our practice. We hypothesized that PFBT results in quiescence of EMG activity during voiding and improves questionnaire scores in patients with LUTS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively reviewed all patients undergoing PFBT and refined the analysis to females \u22656 years old with \u22652 sessions with completed voiding questionnaires pre\u2010 and post\u2010treatment, active EMG during voiding, with non\u2010neurogenic urinary tract complaints refractory to standard urotherapy. Validated Bladder Bowel Dysfunction (BBD) questionnaires were collected at each visit. Quiescence of EMG activity and changes in BBD score were the primary outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      229 patients underwent \u22651 PFBT session, of which 64 females \u22656 years of age with \u22652 PFBT sessions and completed pre and post PFBT voiding questionnaires were identified. In this group, mean age at PFBT start was 10.1 (6.2\u201017.0). Patients completed 3.1 sessions (2\u20106). No difference was seen in post\u2010void residual (PVR) between first and last session (23.8 vs 22.6\u2009mL,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.55). Median questionnaire score decreased from 18 (4\u201042) before to 13 (2\u201028) following PFBT (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.0001). Responders, characterized by silencing of the EMG after PFBT, occurred in 31% (20\/64). Non\u2010responders were younger (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.007) with higher pre\u2010PFBT questionnaire scores.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The use of PFBT appears to result in a significant reduction in symptom scores, though quiescence of EMG was observed following therapy in less than 1\/3 of patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nau.23842","type":"journal-article","created":{"date-parts":[[2018,10,23]],"date-time":"2018-10-23T08:14:05Z","timestamp":1540282445000},"page":"254-260","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Pelvic floor biofeedback therapy in children: Assessment of symptom scores in responders and non\u2010responders"],"prefix":"10.1002","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2590-7069","authenticated-orcid":false,"given":"Abby S.","family":"Taylor","sequence":"first","affiliation":[{"name":"Division of Pediatric Urology Monroe Carell Jr. Children's Hospital at Vanderbilt Nashville Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jackson J.","family":"Cabo","sequence":"additional","affiliation":[{"name":"Vanderbilt University Medical School Nashville Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chelsea","family":"Lauderdale","sequence":"additional","affiliation":[{"name":"Surgical Outcomes Center for Kids Monroe Carell Jr. Children's Hospital at Vanderbilt Nashville Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Narges","family":"Maskan","sequence":"additional","affiliation":[{"name":"Surgical Outcomes Center for Kids Monroe Carell Jr. Children's Hospital at Vanderbilt Nashville Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John C.","family":"Thomas","sequence":"additional","affiliation":[{"name":"Division of Pediatric Urology Monroe Carell Jr. Children's Hospital at Vanderbilt Nashville Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stacy T.","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Division of Pediatric Urology Monroe Carell Jr. Children's Hospital at Vanderbilt Nashville Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John C.","family":"Pope","sequence":"additional","affiliation":[{"name":"Division of Pediatric Urology Monroe Carell Jr. Children's Hospital at Vanderbilt Nashville Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark C.","family":"Adams","sequence":"additional","affiliation":[{"name":"Division of Pediatric Urology Monroe Carell Jr. Children's Hospital at Vanderbilt Nashville Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John W.","family":"Brock","sequence":"additional","affiliation":[{"name":"Division of Pediatric Urology Monroe Carell Jr. Children's Hospital at Vanderbilt Nashville Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chevis N.","family":"Shannon","sequence":"additional","affiliation":[{"name":"Surgical Outcomes Center for Kids Monroe Carell Jr. Children's Hospital at Vanderbilt Nashville Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglass B.","family":"Clayton","sequence":"additional","affiliation":[{"name":"Division of Pediatric Urology Monroe Carell Jr. Children's Hospital at Vanderbilt Nashville 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