Mp56-12 Parasacral Transcutaneous Electrical Neural Stimulation vs. Behavioral Therapy in Primary Monosymptomatic Enuresis: A Prospective Randomized Clinical Trial.

Oliveira, Luiz Gustavo de; Paula, Lidyanne Ilidia da Silva de; Franck, H; Guedes, Ana Carolina; Guimarães, Kayleigh; Cardoso, Jessika Stephani; Figueiredo, André Avarese de; Barroso, Ubirajara; Bessa, José de; Bastos-Netto, José Murillo

doi:10.1016/j.juro.2018.02.1803

Cited by 1 publication

(12 citation statements)

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“…No statistical difference was found between genders. All studies were published between 2013 and 2023 and were randomized controlled trials (RCTs) (37)(38)(39)48). These studies and participants' characteristics are shown in Table -1.…”

Section: Studies and Participants Characteristicsmentioning

confidence: 99%

“…The studies used similar PTENS protocols. All of them used the same electrode location (S2/S3 sacral region) and the same frequency (10Hz) (37)(38)(39)48). Three studies used the same pulse duration (700µs), therapy time (20 minutes), and therapy frequency (three times a week) (37)(38)(39).…”

Section: Protocol and Proceduresmentioning

confidence: 99%

“…All of them used the same electrode location (S2/S3 sacral region) and the same frequency (10Hz) (37)(38)(39)48). Three studies used the same pulse duration (700µs), therapy time (20 minutes), and therapy frequency (three times a week) (37)(38)(39). Only Jorgensen et al (48) used homebased PTENS with a pulse duration of 200µs, 60 minutes of application per day and a therapy frequency of twice a day.…”

Section: Protocol and Proceduresmentioning

confidence: 99%

“…Two studies used a minimum age of six years as an inclusion criterion (38,48), one of five years (37) and the others, of seven years (39). All studies excluded patients with non-monosymptomatic enuresis, secondary enuresis, and neurological disease (37)(38)(39)48). One study also excluded a patient with polyuria (48).…”

Section: Protocol and Proceduresmentioning

confidence: 99%

“…Theoretical research suggests that using electrical nerve stimulation during childhood may improve the central and peripheral nervous system's neuroplasticity, leading to potentially better long-term outcomes (36). In addition to its established use in treating overactive bladder, recent randomized clinical trials have demonstrated varying effects of PTENS in treating MNE (29,(37)(38)(39). According to Bastos Netto et al (6) PTENS could be tried in cases where other therapies have failed.…”

Section: Introductionmentioning

confidence: 99%

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The effectiveness of parasacral transcutaneous electrical nerve stimulation in the treatment of monosymptomatic enuresis in children and adolescents: a systematic review

Dutra,

Bessa Junior,

Almeida

et al. 2024

Int. braz j urol.

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Background: Parasacral Transcutaneous Electrical Nerve Stimulation (PTENS) is a treatment used in enuresis refractory to first-line treatment. This review aimed to evaluate the effectiveness of PTENS in treating monosymptomatic enuresis (MNE) in children and adolescents. Methods: The study followed the Preferred Reporting Items for Systematic (PRISMA) guidelines. The search was carried out in the following databases: MEDLINE (via PubMed), Web of Science, SCOPUS, Central Cochrane Library and Physiotherapy Evidence Database (PEDro). The selected studies were randomized clinical trials (RCTs). The "Risk of Bias tool for randomized trials" and the "Risk of Bias VISualization" were used to analyze the risk of bias. Results: Of the 624 studies selected, four RCTs were eligible. Three included 146 children and adolescents aged between six and 16.3 years and used similar PTENS protocols with a frequency of 10 Hz, pulse duration of 700 µs and 20 minutes three times/week. One study enrolled 52 patients aged seven to 14 years used PTENS at home, with a pulse duration of 200 µs and 20 to 60 minutes twice/day. Risk of bias was observed in three studies due to results’ randomization and measurement. Two studies showed a partial response with a reduction in wet nights, one a complete response in 27% of patients, and one showed no improvement. Conclusion: PTENS reduces wet nights’ frequency but does not cure them, except in 27% of patients in one study. Limited RCTs and data heterogeneity are limitations.

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Section: Studies and Participants Characteristicsmentioning

confidence: 99%