Abstract
ABSTRACTPurpose:This study compares the results achieved following parasacral TENS administered using two different weekly schedules.Materials and Methods:Children of at least four years of age with a diagnosis of pure overactive bladder were included in this randomized clinical trial and treated with parasacral TENS (2 versus 3 sessions per week). All the participants also underwent standard urotherapy.Results:Sixteen children were included in the twice-weekly group and eighteen in the three times weekly group. There were no statistically significant differences between the two groups with respect to sex; however, there was a difference in age. There were no significant differences regarding complete resolution of urinary symptoms, with 8 children (50%) in the twice-weekly group and 11 children (61%) in the three times weekly group having their symptoms completely resolved (p=0.73). There was a significant difference in the DVSS score in both groups following TENS treatment compared to baseline (p=0.0001 for both groups), but not between groups. Evaluation of the bladder diary showed no difference between the groups before or after treatment.Conclusion:For children with overactive bladder who are unable to undergo parasacral TENS treatment three times weekly, the method can be administered successfully at twice-weekly sessions.
Highlights
According to the International Children’s Continence Society (ICCS), overactive bladder (OAB) is characterized by urinary urgency and may be associated with daytime incontinence, frequency and holding maneuvers used to avoid involuntary loss of urine [1]
transcutaneous electrical nerve stimulation (TENS) was the first treatment for urinary symptoms, with children who had previously been treated with anticholinergics or any other treatment being excluded from the study
There was a difference in age, with a mean age of 6.44±2.12 years for the children in the twice-weekly group compared to a mean of 8.44±2.93 years in the three times weekly group (p=0.03)
Summary
According to the International Children’s Continence Society (ICCS), overactive bladder (OAB) is characterized by urinary urgency and may be associated with daytime incontinence, frequency and holding maneuvers used to avoid involuntary loss of urine [1]. Urinary symptoms are present in 38% of children and consist of incontinence in 14% of cases and urgency in 18%, with daytime symptoms being more common in girls compared to boys [2]. LUTS are associated with psychological alterations and social embarrassment. These issues tend to improve following successful treatment of urinary incontinence [3]. Parasacral transcutaneous electrical nerve stimulation (TENS) has been used to treat OAB in children since 2001 [4, 5]. The success rate ranges from 13% to 86% depending on the form of stimulation and the intensity of the problem [6]
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Schedule a callMore From: International braz j urol : official journal of the Brazilian Society of Urology
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