In dysfunctional voiding problems, children contract the pelvic floor
muscles or sphincter during urination due to the wrong habits they have
adopted. However, in healthy urination, the pelvic floor muscles need to
relax during urination. There is no underlying neurological problem with
this problem.
Dysfunctional voiding may not be seen alone. In addition to the
complaints of sudden desire to urinate, frequent urination and
incontinence by not being able to reach the toilet, symptoms such as
straining and urination due to the contraction of the sphincter during
urination, waiting too long to urinate, and a decrease in urine flow rate
are detected.
During the years of toilet training in children, some inadequacies in
learning to relax the pelvic floor muscles can be shown as causing
dysfunctional urination. The child’s environmental conditions, especially
when toilet training is being given, and confidentiality issues can trigger
or increase voiding dysfunction.
In the treatment;

– With pelvic floor rehabilitation, the child and family are informed
about the urinary tract and how to empty the urine.
-Normally, you are given training on how to have a healthy
urination.
– Arrangements are made regarding toilet habits.
– It is followed up with bladder diary.
– Postural stabilization is studied so that the diaphragm can perform
the task of breathing and stabilization.
– With biofeedback applications, retraining of the relaxation and
contraction of the pelvic floor muscles is provided.