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[Sacral electrical neurostimulation in the refractory pediatric overactive bladder].

I Casal-Beloy¹, M A García-Novoa, T Casal Beloy

¹Servicio de Cirugía Pediátrica. Complejo Hospitalario Universitario A Coruña. La Coruña. España.. isabelcasalbe@gmail.com.

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|November 12, 2020

Summary

Sacral vesical electrotherapy effectively treated a 12-year-old with refractory overactive bladder. This approach resolved symptoms of diurnal incontinence and urgency without adverse effects, offering a new option for difficult cases.

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Area of Science:

Pediatric Urology
Neuromodulation
Bladder Dysfunction

Background:

Overactive bladder (OAB) is a common cause of pediatric urinary incontinence.
Current treatments like oxybutynin have limited efficacy for some patients.
Anticholinergic refractory OAB requires alternative management strategies.

Observation:

A 12-year-old patient presented with refractory OAB symptoms including diurnal incontinence and urgency.
The patient had previously failed treatment with oxybutynin and solifenacin.
Sacral vesical electrotherapy was considered as a novel treatment option.

Findings:

Sacral vesical electrotherapy led to a complete resolution of diurnal incontinence and urgency.
The patient experienced no adverse effects during or after the electrotherapy treatment.
This case demonstrates a positive response to sacral vesical electrotherapy in a pediatric OAB patient.

Implications:

Sacral vesical electrotherapy shows promise as an effective treatment for pediatric OAB refractory to oral medications.
This intervention may offer a safe and viable alternative for managing complex bladder dysfunction in children.
Further research is warranted to establish the long-term efficacy and broader applicability of vesical electrotherapy in pediatric urology.