Parasacral transcutaneous electrical nerve stimulation in children with overactive bladder: comparison between sessions administered two and three times weekly

Veiga, M.L.; Oliveira, Kaíse; Batista, Vanessa; Nacif, Ananda; Braga, Ana Aparecida Nascimento Martinelli; Barroso, Ubirajara

doi:10.1590/s1677-5538.ibju.2020.0372

Cited by 9 publications

(3 citation statements)

References 17 publications

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“…[23] Veiga et al reported that patients underwent twice-weekly sessions or three times weekly of PNS had the same improvements of OAB symptoms. [31] Many studies have proven PNS an effective approach for OAB, [11,[31][32][33] which was in line with our results, but it should be kept in mind that PNS had limited effects on enuresis and constipation. [33] More studies are needed to further investigate this topic.…”

Section: Discussionsupporting

confidence: 89%

Treatment for overactive bladder: A meta-analysis of tibial versus parasacral neuromodulation

Wang

Liu

2022

Medicine

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Background: The study aimed to assess the efficacy and safety of parasacral neuromodulation (PNS) versus tibial nerve stimulation (TNS) for patients with overactive bladder (OAB). Methods: Databases including PubMed, Embase, clinicalTrial.gov , and Cochrane Library Central Register of Controlled Trials were systematically searched from January 1, 1999 to September 9, 2022. The improvements in a 3-day voiding diary were set as the primary outcomes. Then, the scores of overactive bladder-validated 8-question awareness tool (OAB-V8), King’s health questionnaire (KHQ), and international consultation on incontinence questionnaire overactive bladder (ICIQ-OAB) were also evaluated. Results: Five articles (4 randomized controlled trials [RCTs] and 1 prospective study) including 255 OAB patients were enrolled. Two kinds of neuromodulations had similar performances in the micturition (mean difference [MD] = 0.26, 95% confidence interval [CI]: –0.51 to 1.04, P = .50), urgency episodes (MD = –0.16, 95% CI: –0.64 to 0.31, P = .50), incontinence episodes (MD = 0.09, 95% CI: –0.41 to 0.59, P = .72), as well as in the nocturia episodes (MD = 0.04, 95% CI: –0.45 to 0.52, P = .89). Furthermore, there was no difference regarding ICIQ-OAB scores ( P = .83), KHQ ( P = .91), and OAB-V8 scores ( P = .83). Importantly, included studies reported no adverse events in the 2 groups. Conclusion: TNS and PNS had similar effectiveness for the treatment of OAB, moreover, without any identified adverse events in both groups. However, well-designed RCTs are stilled needed to verify our results.

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Section: Discussionsupporting

confidence: 89%

Treatment for overactive bladder: A meta-analysis of tibial versus parasacral neuromodulation

Wang

Liu

2022

Medicine

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“…Stimulation is conducted on two or three alternate days per week for 4~12 weeks [ 30 , 31 , 32 ]. Veiga, et al [ 33 ] successfully assessed that this method could also be effective after twice-weekly sessions if the patients could not attend three times weekly.…”

Section: Electrical Stimulation Modalitiesmentioning

confidence: 99%

Physical Agent-Based Treatments for Overactive Bladder: A Review

Khasanah

Chin

Peng

2022

JCM

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Almost one-fifth of the people in the world experience a decrease in quality of life due to overactive bladder (OAB) syndrome. The main bothersome symptoms are urgency accompanied by urinary frequency and nocturia. This chronic, disabling condition is first managed by reducing fluid intake and pelvic floor muscle training, supplemented with antimuscarinic drugs, if necessary. However, refractory cases often still occur. In more severe cases, invasive surgical interventions can be considered; yet, the success rate is still inconsistent, and there is a high complication rate. This condition is frustrating for patients and challenging for the medical staff involved. Although its pathophysiology has not been fully elucidated, peripheral autonomic somatic and sensory afferent receptors are considered to be involved in this condition. Hence, currently, physical agent-based treatments such as neuromodulation have taken a significant place in the third-line therapy of OAB. The efficacy and safety profiles of electrical and magnetic stimulation continue to evolve. Physical-based agents provide an appealing option owing to their effectiveness and minimal side effects. In addition, more physical therapies using light and shock energy are currently being investigated. Thus, a comprehensive understanding of these modalities is an extremely important aspect to provide the most suitable modalities for patients.

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“…UI impairs quality of life (QoL) and negatively affects children's social, behavioral, and emotional well-being. These issues tend to improve after successful treatment of UI (6). Treatment options for OAB tend to be staggered, with "lines of therapy" that correspond to different levels of invasiveness ranging from least to most invasive (7).…”

Section: Introductionmentioning

confidence: 99%

The effect of vitamin D deficiency in children with overactive bladder related urinary incontinence

Özçift¹,

Miçooğulları

2022

Int. braz j urol.

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Purpose: Overactive bladder (OAB) is a common syndrome associated with lower urinary tract symptoms (LUTS), especially urinary incontinence in children, which may affect the patient's quality of life (QoL). Vitamin D deficiency has been shown to be associated with OAB syndrome. This study evaluated the relationship between vitamin D status and OAB-related symptoms and QoL in children. Materials and Methods:The study included 52 pediatric patients with OAB-related urinary incontinence and 41 healthy children. LUTS were assessed using the Dysfunctional Voiding and Incontinence Symptoms Score (DVISS) questionnaire, and QoL was assessed using the Pediatric Incontinence Questionnaire (PINQ). Oral vitamin D supplementation was given to patients with OAB with vitamin D deficiency. Urinary symptoms and QoL were evaluated before and after vitamin D supplementation. Results: Vitamin D deficiency was more common in the OAB group (75%) than in the control group (36.6%). Logistic regression analysis revealed that vitamin D status (<20ng/ mL) was a significant predictor of OAB. Both pre-treatment and post-treatment DVISS and PINQ scores showed a positive correlation. After vitamin D supplementation, 8 (23.5%) patients had a complete response and 19 (55.9%) patients had a partial response. Significant improvement in QoL was also achieved. Conclusions: Vitamin D deficiency is more common in children with urinary incontinence and OAB than in healthy children. Although vitamin D deficiency is not routinely evaluated for every patient, it should be evaluated in treatment-resistant OAB cases. Vitamin D supplementation may improve urinary symptoms and QoL in patients with OAB.

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Parasacral transcutaneous electrical nerve stimulation in children with overactive bladder: comparison between sessions administered two and three times weekly

Cited by 9 publications

References 17 publications

Treatment for overactive bladder: A meta-analysis of tibial versus parasacral neuromodulation

Treatment for overactive bladder: A meta-analysis of tibial versus parasacral neuromodulation

Physical Agent-Based Treatments for Overactive Bladder: A Review

The effect of vitamin D deficiency in children with overactive bladder related urinary incontinence

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