Urodynamic outcome of parasacral transcutaneous electrical neural stimulation for overactive bladder in children

• Published in: International Brazilian Journal of Urology Vol. 41; no. 4; pp. 739 - 743
• Main Authors: Barroso, Jr, Ubirajara, Carvalho, Marcelo Tomás, Veiga, Maria Luisa, Moraes, Marília Magalhães, Cunha, Carolina Coelho, Lordêlo, Patrícia
• Format: Journal Article
• Language: English
• Published: Brazil Sociedade Brasileira de Urologia 01-08-2015
• Subjects: Bladder; Child; Compliance - physiology; Female; Humans; Lumbosacral Plexus; Male; Muscle Contraction - physiology; Original; Transcutaneous Electric Nerve Stimulation; Treatment Outcome; Urinary Bladder - physiopathology; Urinary Bladder, Overactive - therapy; Urodynamics; Urodynamics - physiology
• ISSN: 1677-5538; 1677-6119; 1677-6119; 1677-5538
• DOI: 10.1590/S1677-5538.IBJU.2014.0303

To evaluate the urodynamic changes immediately after the first session (acute effect) and after the last session of parasacral TENS in children with idiopathic OAB.
We performed urodynamic evaluation immediately before and after the first session of parasacral TENS and immediately after the last session (7 weeks later). Only children with idiopathic isolated OAB were included. Patients with dysfunctional voiding were not included.
18 children (4 boys and 14 girls, mean age of 8.7) were included in the first analysis (urodynamic study before and immediately after the first session) and 12 agreed to undergo the third urodynamic study. Urodynamic before and immediately after the first session: There was no change in the urodynamic parameters, namely low MCC, low bladder compliance, presence of IDC, the average number of IDC, or in the maximum detrusor pressure after the first exam. Urodynamic after the last session: The bladder capacity improved in most patients with low capacity (58% vs. 8%). Detrusor overactivity was observed in 11 (92%) before treatment and 8 (76%) after. There was not a significant reduction in the average number of inhibited contractions after TENS (p=0.560) or in the detrusor pressure during the inhibited contraction (p=0.205).
There was no change in the urodynamic parameters immediately after the first session of stimulation. After the last session, the only urodynamic finding that showed improvement was bladder capacity.