" used to be practised in ancient China, Rome, Greece and Egypt, it's not a practise which health experts today endorse.
This teaching process was developed as a way to help pediatric patients and families be able to recall the rules of behavioral urotherapy
that are easy to understand and follow, ultimately hoping to improve compliance, which in turn should provide more successful outcomes.
Abbreviations BBD - bladder and bowel dysfunction LUTS - lower urinary tract symptoms OAB - overactive bladder DV - dysfunctional voiding PVR - post void residual EMG - electromyography BF - biofeedback VUR - vesicoureteral reflux UTIs - urinary tract infections Treatment of any kind of LUTS starts with urotherapy
that encompasses education about urinary tract physiology and dysfunctions, behavioral training regarding adequate fluid intake, voiding habits and postural training.
Even though I must confess that I don't have any experience with 'Urine Therapy' I am aware that for thousands of years, several cultures have used the therapy, also known as uropathy or urotherapy
, for all manners of disease and injury.
Medicinal plant extracts as traditional antidotes have long been used in countries where the urotherapy
is unobtainable .
The majority of patients will improve with urotherapy
, adequate fluid intake, and constipation treatment.
is still popular, despite the invention of toothpaste.
They address the pathophysiology of bowel and bladder dysfunction; epidemiology, quality of life factors, psychological aspects, and neuropsychiatric disorders and genetic aspects; evaluation using urodynamics, uroflowmetry and postvoid residual urine tests, and other methods; behavioral, psychological, medical, and surgical treatments, including urotherapy
, physiotherapy, biofeedback, pharmacotherapy, peripheral tibial nerve stimulation therapy, sacral nerve stimulation therapy, and botulinum toxin; the evaluation and management of nocturnal enuresis; and neurogenic bladder and bowel dysfunction.
Miljkovic, "Botulinum toxin type A in combination with standard urotherapy
for children with dysfunctional voiding," Journal of Urology, vol.
A successful urotherapy
can save a patient from excessive medical interventions and other alternative treatment options.3 Biofeedback method without drug usage which needs active parent and child participation can be alternative treatment modality due to its short-term satisfactory results in enuresis nocturna.4 ICCS endorses the use of desmopressin as a first-line treatment for primary nocturnal enuresis of polyuric origin (level 1 grade A).
was also used by ancient Egyptians and indigenous Americans.3 Urine therapy may have been referenced in the Bible: "Drink waters from thy own cistern flowing water from thy own well" (Proverbs 5:15 Old Testament).
The third part related to the daily practice included the use of the bladder diary, a questionnaire with a validated symptom scoring system, the application of the standard urotherapy
, and the time they spent during the first visit.