SynthesisEuropean child & adolescent psychiatry2018
Standard urotherapy as first-line intervention for daytime incontinence: a meta-analysis.
Synthesis in European child & adolescent psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 75 citations in OpenAlex.
- Alarm-assisted urotherapy for daytime urinary incontinence in children: A meta-analysis.PloS one · 2023Pooled it
- EAU-ESPU guidelines recommendations for daytime lower urinary tract conditions in children.European journal of pediatrics · 2020Guideline
- Bowel Management and Standard Urotherapy in Pediatric Bladder and Bowel Dysfunction: A Randomized Clinical Trial.JAMA network open · 2026Trial
- Effectiveness of an Online Health Education Program for Pediatric Lower Urinary Tract Symptoms.Urology · 2025Trial
- Extended-course transcutaneous tibial nerve stimulation for pediatric overactive bladder: a 6-Month prospective single-arm study.World journal of urology · 2026Article
- Understanding Pediatric Patient Experiences with Urotherapy Tools: Qualitative Focus Group Study.JMIR pediatrics and parenting · 2025Article
- Innovative, Technology-Driven, Digital Tools for Managing Pediatric Urinary Incontinence: Scoping Review.Interactive journal of medical research · 2025Review
- SunCloud: A mobile application for children with urinary incontinence.Journal of evaluation in clinical practice · 2025Article
- Sensory integration combined with interoceptive interventions for functional urinary incontinence in children: a case report.Frontiers in rehabilitation sciences · 2025Article
- Giggle incontinence: a scoping review.Pediatric research · 2024Article
- Prevalence of pediatric lower urinary tract symptoms in a national claims database of privately insured patients, 2003-2014.International urology and nephrology · 2024Article
- Pediatric Lower Urinary Tract Dysfunction: A Comprehensive Exploration of Clinical Implications and Diagnostic Strategies.Biomedicines · 2024Review
- Paediatricians' perspectives in treating lower urinary tract symptoms: a qualitative exploratory needs assessment study.BMJ paediatrics open · 2024Article
- Creating a community advisory board for pediatric bladder health.Frontiers in pediatrics · 2024Article
- At-home use of parasacral transcutaneous electrical nerve stimulation for pediatric voiding dysfunction: a randomized controlled trial to assess its safety and feasibility.Frontiers in pediatrics · 2023Article
- Article
- A Smartphone App for Supporting the Self-management of Daytime Urinary Incontinence in Adolescents: Development and Formative Evaluation Study of URApp.JMIR pediatrics and parenting · 2021Article
- Dissatisfaction with school toilets is associated with bladder and bowel dysfunction.European journal of pediatrics · 2021Article
- Pretreatment morning urine osmolality and oral desmopressin lyophilisate treatment outcome in patients with primary monosymptomatic enuresis.International urology and nephrology · 2021Article
- Traditional Biofeedback vs. Pelvic Floor Physical Therapy-Is One Clearly Superior?Current urology reports · 2019Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
According to the International Children's Continence Society (ICCS) guidelines for the treatment of daytime urinary incontinence (DUI) in children and adolescents, the first-line intervention for all types of DUI is standard urotherapy (SU). Despite this recommendation there is still no meta-analysis available on the effectiveness of SU. The aim of this study is to provide a meta-analytic evaluation of the intervention. This meta-analysis is based on Odds Ratios (OR) and consists of 26 patient samples out of 19 studies (N = 1609), collected from well-established medical databases. Remission rates after SU are compared to spontaneous remission rates, which are matched to the individual follow-up period. The meta-analysis shows that SU is an effective treatment of DUI. Compared to a spontaneous remission rate of 15.40% per year, urotherapy increases the probability to recover by a factor of 7.27 (6.57 if corrected for publication bias). After exclusion of three outlying samples this effect can be generalized for all types of SU and all patient populations. Moderator analyses cannot identify variables which significantly influence the variance of effect sizes. However, RCTs seem to be associated with lower effects, even when the control group is not considered for effect size calculation. Based on the present meta-analysis, SU is an effective intervention for treating DUI in children and adolescents. Of 100 patients in 1 year, approximately 56 patients (54 if corrected for publication bias) remit after being treated with SU, while only 15 out of 100 remit spontaneously. However, to further quantify the effect size of SU in comparison to spontaneous remission rates and other treatments, additional RCTs are still needed.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.