Parasacral transcutaneous electrical nerve stimulation for overactive bladder in constipated children: The role of constipation
| Autor: | Ubirajara Barroso, Maria Luiza Veiga, Elen Veruska Costa, Ana Aparecida Nascimento Martinelli Braga, Ananda Nacif, Inaah Portella |
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| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Constipation Adolescent Urology 030232 urology & nephrology urologic and male genital diseases Transcutaneous electrical nerve stimulation law.invention 03 medical and health sciences 0302 clinical medicine Enuresis law Lower urinary tract symptoms medicine Humans Prospective Studies Prospective cohort study Child Urinary symptoms business.industry Urinary Bladder Overactive Rome iii medicine.disease female genital diseases and pregnancy complications Overactive bladder 030220 oncology & carcinogenesis Child Preschool Pediatrics Perinatology and Child Health Physical therapy Transcutaneous Electric Nerve Stimulation Female medicine.symptom business |
| Zdroj: | Journal of pediatric urology. 12(6) |
| ISSN: | 1873-4898 |
| Popis: | Summary Background Parasacral transcutaneous electrical nerve stimulation (TENS) is an effective method for the treatment of overactive bladder (OAB), and, additionally, it accelerates bowel transit time. Therefore, not only does parasacral transcutaneous electrical nerve stimulation (TENS) improve lower urinary tract symptoms (LUTS), but it also resolves the problem of constipation in a significant number of children. Since TENS has a positive effect on LUTS and on the symptoms of fecal retention, it is possible that its action regarding OAB could be directly associated with the improvement in constipation. In other words, the positive effect of parasacral TENS in OAB would be because constipation was resolved. The objective of this study was to test that hypothesis. Objective To test the hypothesis that the positive effect of parasacral TENS in OAB would be because constipation had improved with this method. Study design In this prospective study, children with OAB alone were submitted to parasacral TENS. The inclusion criteria consisted of children with idiopathic OAB alone The Rome III criteria for children of 4–18 years of age were used to diagnose constipation. All the children were treated with 20 sessions of parasacral TENS applied for 20 min, three times weekly on alternating days (Figure). No instructions were given to the participants with respect to diet, laxatives, or pharmaceutical treatment for constipation throughout the study period. None of the patients used anticholinergics. Standard urotherapy was prescribed. Results Parasacral TENS improves OAB and constipation. The presence of constipation before treatment was not associated with a poorer prognosis insofar as the resolution of the symptoms of OAB was concerned. Likewise, there was no association between the resolution of constipation with parasacral TENS and the resolution of OAB. Conclusion There was no statistically significant difference in urinary symptoms between the constipated and nonconstipated children. There was an improvement in urgency, urge incontinency and in holding maneuvers in both the constipated and non-constipated children; however, there was no significant improvement in enuresis. The resolution of OAB was not associated with the resolution of constipation and vice versa. Download : Download high-res image (222KB) Download : Download full-size image |
| Databáze: | OpenAIRE |
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