Maximal electrical stimulation in children with unstable bladder and nocturnal enuresis and/or daytime incontinence: A controlled study

Tršinar, Bojan; Kralj, Božo

doi:10.1002/(sici)1520-6777(1996)15:2<133::aid-nau2>3.0.co;2-g

Cited by 40 publications

(41 citation statements)

References 23 publications

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“…have been quite well researched [cf. Plevnik and Vodušek, 2000] and so were the therapeutic effects of NES in placebo-controlled studies in patients with unstable detrusors [Brubaker et al, 1996;Tršinar and Kralj, 1996]. What has not been studied is the comparison of therapeutic effects of NES as applied to different body areas.…”

Section: Discussionmentioning

confidence: 99%

Non-invasive antidromic neurostimulation: A simple effective method for improving bladder storage

et al. 2000

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Section: Discussionmentioning

confidence: 99%

Non-invasive antidromic neurostimulation: A simple effective method for improving bladder storage

et al. 2000

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“…Although favourable outcomes have been noted with functional electrical nerve stimulation, 62,63 its use is limited, as it involves stimulation of the anal and genital regions.…”

Section: Neuromodulationmentioning

confidence: 99%

Overactive bladder in children

Ramsay¹,

Bolduc²

2017

CUAJ

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Overactive bladder (OAB) is a highly prevalent disorder in the pediatric population. This condition is especially troublesome for pediatric patients and their families when associated with incontinence, since it negatively affects self-esteem and impairs children's development. From the patient's perspective, urgency and urge incontinence can have a significant impact, negatively affecting their quality of life. For a therapy to have true benefit, changes must not only be statistically significant, but must also be perceived as meaningful by the patient. A stepwise approach is favoured to treat this pathology, starting with behavioural therapy, followed by medical management, and eventually more invasive procedures.Antimuscarinic agents are the mainstay of medical treatment for OAB. Oxybutynin is the most commonly used antimuscarinic in the pediatric population. However, some patients have a suboptimal response to antimuscarinics and many experience bothersome side effects, which have been documented with all antimuscarinics to a significantly higher degree than placebo. Although there have been reports about the use of tolterodine, fesoterodine, trospium, propiverine, and solifenacin in children, to date, only oxybutynin has been officially approved for pediatric use by medical authorities in North America. This review will address alternative treatment options for pediatric patients presenting with OAB, from conservative measures to more invasive therapies.

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“…There are various electrical stimulation devices, but consensus is yet to be achieved on such factors as the stimulus conditions and the duration of treatment. As regards the treatment of OAB, some reports indicate that electrical stimulation is more effective than placebo, 101–104 but comparison is difficult because the protocols vary according to the researchers.…”

Section: Treatmentmentioning

confidence: 99%