Posterior Tibial Nerve Stimulation in Children with Lower Urinary Tract Dysfunction
| Autor: | Liesbeth L. De Wall, Anna P. Bekker, Loes Oomen, Vera A. C. T. Janssen, Barbara B. M. Kortmann, John P. F. A. Heesakkers, Anke J. M. Oerlemans |
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| Přispěvatelé: | MUMC+: MA Urologie (3), Urologie, RS: MHeNs - R3 - Neuroscience |
| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
urinary incontinence
Health Toxicology and Mutagenesis PTNS Public Health Environmental and Occupational Health children quality of life qualitative outcomes Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] Tibial Nerve/physiology All institutes and research themes of the Radboud University Medical Center Reconstructive and regenerative medicine Radboud Institute for Molecular Life Sciences [Radboudumc 10] Treatment Outcome INCONTINENCE Transcutaneous Electric Nerve Stimulation Humans Tibial Nerve Child Urinary Tract Retrospective Studies Transcutaneous Electric Nerve Stimulation/methods |
| Zdroj: | International Journal of Environmental Research and Public Health, 19 International Journal of Environmental Research and Public Health, 19(15):9062. Multidisciplinary Digital Publishing Institute (MDPI) International Journal of Environmental Research and Public Health; Volume 19; Issue 15; Pages: 9062 International Journal of Environmental Research and Public Health, 19, 15 |
| ISSN: | 1661-7827 1660-4601 |
| Popis: | BACKGROUND: Posterior tibial nerve stimulation (PTNS) is one of the treatment modalities for children with therapy-refractory lower urinary tract dysfunction (LUTD). This study used a mixed-methods analysis to gain insight into the experiences of children treated with PTNS and their parents, the effect of treatment on quality of life (QOL) and the effect of PTNS on urinary symptoms.METHODS: Quantitative outcomes were assessed through a single-centre retrospective chart analysis of all children treated with PTNS in a group setting between 2016-2021. Voiding parameters and QOL scores before and after treatment were compared. Qualitative outcomes were assessed by an explorative study involving semi-structured interviews transcribed verbatim and inductively analysed using the constant-comparative method.RESULTS: The data of 101 children treated with PTNS were analysed. Overall improvement of LUTD was seen in 42% and complete resolution in 10%. Average and maximum voided volumes significantly increased. QOL improved in both parents and children independent of the actual effect on urinary symptoms. Interviews revealed PTNS to be well-tolerated. Facilitating PTNS in a group setting led to feelings of recognition in both children and parents.CONCLUSIONS: PTNS is a good treatment in children with therapy-refractory LUTD and provides valuable opportunities for peer support if given in a group setting. |
| Databáze: | OpenAIRE |
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