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Related Experiment Video

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Breathing-controlled Electrical Stimulation (BreEStim) for Management of Neuropathic Pain and Spasticity
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Published on: January 10, 2013

Electrical nerve stimulation for overactive bladder in children.

Ubirajara Barroso1, Patrícia Lordêlo

  • 1Department of Urology and Centro de Distúrbios Miccionais na Infância, Bahiana School of Medicine, Federal University of Bahia, 275 Avenue Dom João VI, Brotas CEP 40285,000, Salvador, Bahia, Brazil. ubarroso@uol.com.br

Nature Reviews. Urology
|June 8, 2011
PubMed
Summary
This summary is machine-generated.

Electrical nerve stimulation (ENS) offers a promising treatment for children with severe overactive bladder (OAB) when standard therapies fail. This review explores ENS effectiveness, mechanisms, and techniques for pediatric OAB management.

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Area of Science:

  • Pediatric Urology
  • Neurology
  • Medical Devices

Background:

  • Overactive bladder (OAB) is a common pediatric urological condition requiring effective treatment.
  • Standard urotherapy and antimuscarinic drugs show limited success in severe pediatric OAB cases.
  • Electrical nerve stimulation (ENS) presents a potential alternative for refractory OAB in children.

Purpose of the Study:

  • To review the efficacy of electrical nerve stimulation (ENS) for treating overactive bladder (OAB) in children.
  • To discuss the mechanisms of action, various ENS techniques, and clinical outcomes in pediatric OAB.
  • To provide a comprehensive overview of ENS as a therapeutic option for pediatric OAB.

Main Methods:

  • Review of existing literature, including randomized clinical trials, on ENS for pediatric OAB.
  • Analysis of different electrode placements (genital, anal, intravesical, tibial nerve) and stimulation types (transcutaneous, implanted).
  • Examination of studies focusing on the putative mechanisms of action for ENS in OAB.

Main Results:

  • Evidence from randomized clinical trials supports the successful use of ENS for pediatric OAB.
  • Various ENS methods, including transcutaneous and implanted electrodes, have been employed.
  • ENS demonstrates potential for symptom resolution in children unresponsive to conventional treatments.

Conclusions:

  • Electrical nerve stimulation (ENS) is an effective treatment modality for children with refractory overactive bladder (OAB).
  • Understanding ENS mechanisms and techniques is crucial for optimizing pediatric OAB management.
  • ENS offers a viable therapeutic option for improving quality of life in children with OAB.