Delivery of Urotherapy for Pediatric Lower Urinary Tract Symptoms: History and Contemporary Practice.
Purpose of Review: Lower urinary tract symptoms (LUTS) affect an estimated 5-15% of children and can negatively impact their self-esteem and overall quality of life. The International Children's Continence Society's (ICCS) first-line recommendation for LUTS management is standard urotherapy, a non-s...
| Publicado en: | Current Treatment Options in Pediatrics Vol. 12; no. 1; pp. 1 - 10 |
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| Autores principales: | , , |
| Formato: | review Journal Article |
| Publicado: |
Springer Nature
6/10/2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=194420252&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 194420252 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 21986088 HLTR jtl: Current Treatment Options in Pediatrics issn: 21986088 maglogo: N pubinfo: dt: 6/10/2026 vid: 12 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 194420252 194420252 194420252 10.1007/s40746-026-00377-5 194420252 ppf: 1 ppct: 9 formats: tig: atl: Delivery of Urotherapy for Pediatric Lower Urinary Tract Symptoms: History and Contemporary Practice. aug: au: Phord-Toy, Ashley Ritchie, Cayde Kan, Kathleen M. affil: https://ror.org/00f54p054 Department of Urology, Stanford University School of Medicine, Palo Alto, CA, USA sug: subj: Urination Disorders Therapy Urologic Diseases Therapy Behavior Therapy Methods Patient Education Methods Health Care Delivery Pediatric Care Urinary Incontinence Rehabilitation Rehabilitation, Pediatric Methods Bladder Physiopathology Self Care Methods Health Education Telemedicine Child Group Processes Individualized Medicine Health Services Accessibility Cost Benefit Analysis Quality of Life Program Development Implementation Science Videorecording Online Education Curriculum Development Home Health Care Social Cognition Self-Efficacy Confidence Child: 6-12 years ab: Purpose of Review: Lower urinary tract symptoms (LUTS) affect an estimated 5-15% of children and can negatively impact their self-esteem and overall quality of life. The International Children's Continence Society's (ICCS) first-line recommendation for LUTS management is standard urotherapy, a non-surgical, non-pharmacological intervention focused on behavioral change and lifestyle modification, including guidance on hydration, timed voiding, and proper toileting posture. This review outlines the evolution of standard urotherapy since 1987 and highlights challenges in its delivery and evaluation. Recent Findings: Urotherapy was traditionally delivered and taught as a one-to-one, clinic-based patient-provider encounter. However, novel formats such as video and group classes have emerged as promising alternatives that may expand patient reach by delivering select components of urotherapy when in-clinic care is not timely or accessible. Existing studies have identified key design and implementation challenges in the delivery and evaluation of urotherapy. Summary: This review traces the evolution of standard urotherapy since 1987, introduces novel delivery formats, and, informed by implementation frameworks, provides recommendations for improving care delivery and reducing disease burden, particularly through scalable and accessible models to address clinic- and patient-level barriers to care. pubtype: Academic Journal doctype: review Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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