Role of posterior tibial nerve stimulation in the treatment of refractory monosymptomatic nocturnal enuresis: a pilot study
| Autor: | Abdelnaser Elgamasy, Osama M. El-Gamal, Ali Abdel Raheem, Yasser Farahat, Mohamed Rasheed, Mohamed Radwan, Maged Ragab, Abdel Hamid El-Bahnasy |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Urology Stimulation Electric Stimulation Therapy Pilot Projects Nocturnal law.invention Randomized controlled trial Refractory law Enuresis Medicine Humans Single-Blind Method Prospective Studies Prospective cohort study Tibial nerve Child Urinary bladder business.industry Surgery medicine.anatomical_structure Anesthesia Female medicine.symptom Tibial Nerve business Nocturnal Enuresis |
| Zdroj: | The Journal of urology. 189(4) |
| ISSN: | 1527-3792 |
| Popis: | We evaluated the early clinical and urodynamic results of posterior tibial nerve stimulation in patients with refractory monosymptomatic nocturnal enuresis.We randomly assigned 28 patients with refractory monosymptomatic nocturnal enuresis to 2 equal groups. Group 1 received a weekly session of posterior tibial nerve stimulation for 12 weeks and group 2 was the placebo group. Evaluation was performed in each group at baseline and after posterior tibial nerve stimulation to compare clinical and urodynamic findings. Another clinical assessment was done 3 months after the first followup.The 2 groups were comparable in baseline clinical and urodynamic data. Overall, 13 patients (46.4%) had detrusor overactivity and 14 (50%) had decreased bladder capacity. After treatment 11 group 1 patients (78.6%) had a partial or full response to posterior tibial nerve stimulation but only 2 (14.3%) in group 2 had a partial response (p = 0.002). Also, the average number of wet nights in group 1 was significantly lower than at baseline (p = 0.002). All urodynamic parameters significantly improved in group 1. In contrast, the number of wet nights and urodynamic parameters did not change significantly in group 2. At 3-month followup the number of patients with a partial or full response in group 1 had decreased from 11 (78.6%) to 6 (42.9%). No change was evident in group 2.Posterior tibial nerve stimulation can be a viable treatment option in some patients with refractory monosymptomatic nocturnal enuresis. However, deterioration in some responders with time suggests the need for maintenance protocols. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|