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Transcutaneous Electrical Nerve Stimulation in Children With Overactive Bladder: A Randomized Clinical Trial

2010; Lippincott Williams & Wilkins; Volume: 184; Issue: 2 Linguagem: Inglês

10.1016/j.juro.2010.03.053

1527-3792

Patrícia Lôrdelo, Alcina Teles, Maria Luíza Veiga, Luís Cláudio Lemos Correia, Ubirajara Barroso,

Urological Disorders and Treatments

No AccessJournal of UrologyPediatric Urology1 Aug 2010Transcutaneous Electrical Nerve Stimulation in Children With Overactive Bladder: A Randomized Clinical Trial Patrícia Lordêlo, Alcina Teles, Maria Luiza Veiga, Luis Cláudio Correia, and Ubirajara Barroso Patrícia LordêloPatrícia Lordêlo More articles by this author , Alcina TelesAlcina Teles More articles by this author , Maria Luiza VeigaMaria Luiza Veiga More articles by this author , Luis Cláudio CorreiaLuis Cláudio Correia More articles by this author , and Ubirajara BarrosoUbirajara Barroso More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2010.03.053AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We evaluated the effectiveness of parasacral transcutaneous electrical nerve stimulation to treat overactive bladder in children. We designed a prospective randomized trial with sham control for this evaluation. Materials and Methods: We prospectively randomized 25 girls and 12 boys with an average age of 7.6 years (range 4 to 12) into the test (active treatment) or sham (superficial scapular electrical stimulation) group. A total of 20 sessions, 20 minutes each (10 Hz) were performed 3 times weekly. The criteria used to evaluate the rate of success were 1) self-reported cure, or significant, mild or no improvement; 2) visual analogue scale (level of success 0 to 10); 3) percent improvement; 4) modified Toronto score; and 5) maximum voided volume, average voided volume and number of voids daily based on bladder diary entries. After completion of the 20 sessions controls who were not cured underwent active treatment. Results: A total of 21 patients in the test group and 16 in the sham group underwent treatment. Among the active treatment group 61.9% of parents reported cure. In the sham group no parent reported cure (p <0.001). Regarding visual analogue scale a score of 10 was indicated by 13 parents in the test group, while 1 parent in the sham group indicated a score of 9 (p = 0.002). Additionally 100% improvement was reported by 12 parents in the test group and no parent in the sham group. Toronto score improved significantly in the test group (p <0.001) and sham group (p = 0.008). However, the score was reduced more significantly in the test group compared to the sham group (p = 0.011). In the test group average and maximum voided volumes showed a statistically significant increase and the number of voids daily decreased. After superficial scapular electrical stimulation 13 of the 16 patients who underwent parasacral transcutaneous electrical nerve stimulation were cured. 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Google Scholar Department of Urology and Physical Therapy, Section of Pediatric Urology, Bahiana School of Medicine, Salvador, Bahia, Brazil© 2010 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byde Abreu G, de Souza L, da Fonseca M, Barbosa T, de Mello E, Nunes A and Barroso U (2021) Parasacral Transcutaneous Electrical Nerve Stimulation for the Treatment of Children and Adolescents with Bladder and Bowel Dysfunction: A Randomized Clinical TrialJournal of Urology, VOL. 205, NO. 6, (1785-1791), Online publication date: 1-Jun-2021.Jørgensen C, Kamperis K, Borch L, Borg B and Rittig S (2017) Transcutaneous Electrical Nerve Stimulation in Children with Monosymptomatic Nocturnal Enuresis: A Randomized, Double-Blind, Placebo Controlled StudyJournal of Urology, VOL. 198, NO. 3, (687-693), Online publication date: 1-Sep-2017.Barroso U (2017) When Should We Offer Parasacral Transcutaneous Electrical Nerve Stimulation for Pediatric Patients with Lower Urinary Tract Dysfunction?Journal of Urology, VOL. 198, NO. 2, (263-264), Online publication date: 1-Aug-2017.Borch L, Hagstroem S, Kamperis K, Siggaard C and Rittig S (2017) Transcutaneous Electrical Nerve Stimulation Combined with Oxybutynin is Superior to Monotherapy in Children with Urge Incontinence: A Randomized, Placebo Controlled StudyJournal of Urology, VOL. 198, NO. 2, (430-435), Online publication date: 1-Aug-2017.Quintiliano F, Veiga M, Moraes M, Cunha C, de Oliveira L, Lordelo P, Bastos Netto J and Barroso Júnior U (2015) Transcutaneous Parasacral Electrical Stimulation vs Oxybutynin for the Treatment of Overactive Bladder in Children: A Randomized Clinical TrialJournal of Urology, VOL. 193, NO. 5S, (1749-1753), Online publication date: 1-May-2015.Barroso U, Viterbo W, Bittencourt J, Farias T and Lordêlo P (2013) Posterior Tibial Nerve Stimulation vs Parasacral Transcutaneous Neuromodulation for Overactive Bladder in ChildrenJournal of Urology, VOL. 190, NO. 2, (673-677), Online publication date: 1-Aug-2013. Volume 184Issue 2August 2010Page: 683-689 Advertisement Copyright & Permissions© 2010 by American Urological Association Education and Research, Inc.Keywordschildtranscutaneous electric nerve stimulationurinary bladderurinary incontinenceMetrics Author Information Patrícia Lordêlo More articles by this author Alcina Teles More articles by this author Maria Luiza Veiga More articles by this author Luis Cláudio Correia More articles by this author Ubirajara Barroso More articles by this author Expand All Advertisement PDF downloadLoading ...