Immediate effect of transcutaneous electrical nerve stimulation on urodynamic parameters of children with myelomeningocele
| Autor: | Kathiussa Dombek, Juliana Marin Fontes, Eloane Gonçalves Ramos, Lúcia Maria Costa Monteiro |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Aging Meningomyelocele Adolescent Urology 030232 urology & nephrology Stimulation Transcutaneous electrical nerve stimulation law.invention 03 medical and health sciences 0302 clinical medicine law medicine Humans Prospective Studies Urinary Bladder Neurogenic Child Pressure reduction 030219 obstetrics & reproductive medicine Urinary Bladder Overactive business.industry medicine.disease Intervention studies Bladder pressure Confidence interval Urodynamics Overactive bladder Anesthesia Transcutaneous Electric Nerve Stimulation Female Neurology (clinical) business Low bladder compliance |
| Zdroj: | Neurourology and Urodynamics. 38:2351-2358 |
| ISSN: | 1520-6777 0733-2467 |
| DOI: | 10.1002/nau.24155 |
| Popis: | Objective To evaluate the immediate response of electrical stimulation in children with neurogenic bladder (NB) due to myelomeningocele, using the urodynamic study (UDS). Methods This is a nonrandomized intervention study with 26 children with neurogenic overactive bladder and low bladder compliance due to myelomeningocele, aged 5 to 15 years. Each child performed a routine UDS and then a second UDS, during which the electrical stimulation was applied in the parasacral region. The main outcome was the difference in the maximum bladder pressure observed between the two urodynamic studies, analyzed from the paired t test. Results We found that 77% of the patients had a lower maximum bladder pressure in the test with electrostimulation compared with the ones without electrostimulation. On average, the pressure reduction after stimulation was 7.24 cmH2 O (95% confidence interval [CI], 0.35-14.14; P = .04). The reduction was even higher in children under 12 years of age, compared with the children above 12 years (11.29 cmH2 O, 95% CI, 3.47-19.12; P = .01). Conclusion The use of transcutaneous electrical nerve stimulation had a significant immediate effect on reducing the maximum bladder pressure during the urodynamic studies among the tested pediatric patients with NB. The results were more significant among children under 12 years of age. |
| Databáze: | OpenAIRE |
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