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Percutaneous electrical stimulation for overactive bladder in children: a pilot study.

U Barroso1, A R de Azevedo1, M Cabral1

  • 1Centro de Distúrbios Miccionais Na Infância (CEDIMI), Bahiana School of Medicine and Division of Urology, Federal University of Bahia, Salvador, Bahia, Brazil.

Journal of Pediatric Urology
|November 12, 2018
PubMed
Summary
This summary is machine-generated.

Once-a-week parasacral percutaneous electrical nerve stimulation (PENS) effectively treated overactive bladder (OAB) in children. This safe, short-term therapy resolved symptoms like urgency and incontinence in most young patients.

Keywords:
ChildOveractive bladderPercutaneous stimulation

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Area of Science:

  • Urology
  • Pediatrics
  • Neuromodulation

Background:

  • Overactive bladder (OAB) significantly impacts children's quality of life.
  • Current treatments for pediatric OAB may have limitations or side effects.

Purpose of the Study:

  • To evaluate the efficacy, tolerance, and safety of weekly parasacral percutaneous electrical nerve stimulation (PENS) for treating OAB in children.
  • To assess the effectiveness of PENS in reducing OAB symptoms and improving lower urinary tract dysfunction.

Main Methods:

  • A prospective case series involving 18 children (aged 4-14) with pure OAB.
  • Weekly PENS treatments using acupuncture needles at the S3 sacral nerve for 20 weeks.
  • Assessment of voiding history, dysfunctional voiding scoring system (DVSS), and visual analog scale (VAS) before and after treatment.

Main Results:

  • Symptom resolution reported in 66% of patients based on VAS.
  • Significant improvements observed in urinary urgency (84% resolved), involuntary urine loss, urge incontinence, frequent urination, and recurrent urinary tract infections.
  • Nocturnal enuresis resolved in 9 out of 14 children.

Conclusions:

  • Parasacral PENS demonstrates short-term efficacy and safety as a treatment for pediatric overactive bladder.
  • The use of acupuncture needles may enhance nerve stimulation effectiveness, allowing for once-weekly treatment.
  • Further research with control groups is recommended to confirm these findings.