The effectiveness of parasacral transcutaneous electrical nerve stimulation in the treatment of monosymptomatic enuresis in children and adolescents: a systematic review
ABSTRACT 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 stud...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Urologia
2024-04-01
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| Series: | International Brazilian Journal of Urology |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382024000200136&tlng=en |
| _version_ | 1797216768309067776 |
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| author | Melissa Faria Dutra José de Bessa Junior Emerson Coelho Luiz de Almeida Eleonora Moreira Lima Mônica Maria de Almeida Vasconcelos Flávia Cristina de Carvalho Mrad |
| author_facet | Melissa Faria Dutra José de Bessa Junior Emerson Coelho Luiz de Almeida Eleonora Moreira Lima Mônica Maria de Almeida Vasconcelos Flávia Cristina de Carvalho Mrad |
| author_sort | Melissa Faria Dutra |
| collection | DOAJ |
| description | ABSTRACT 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. |
| first_indexed | 2024-04-24T11:51:12Z |
| format | Article |
| id | doaj.art-6fa8aec4ad6747e79c3bf25712b46355 |
| institution | Directory Open Access Journal |
| issn | 1677-6119 |
| language | English |
| last_indexed | 2024-04-24T11:51:12Z |
| publishDate | 2024-04-01 |
| publisher | Sociedade Brasileira de Urologia |
| record_format | Article |
| series | International Brazilian Journal of Urology |
| spelling | doaj.art-6fa8aec4ad6747e79c3bf25712b463552024-04-09T07:41:24ZengSociedade Brasileira de UrologiaInternational Brazilian Journal of Urology1677-61192024-04-0150213615110.1590/s1677-5538.ibju.2023.0618The effectiveness of parasacral transcutaneous electrical nerve stimulation in the treatment of monosymptomatic enuresis in children and adolescents: a systematic reviewMelissa Faria DutraJosé de Bessa JuniorEmerson Coelho Luiz de AlmeidaEleonora Moreira LimaMônica Maria de Almeida VasconcelosFlávia Cristina de Carvalho Mradhttps://orcid.org/0000-0001-5484-2252ABSTRACT 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382024000200136&tlng=enSystematic Review [Publication Type]Nocturnal EnuresisTranscutaneous Electric Nerve Stimulation |
| spellingShingle | Melissa Faria Dutra José de Bessa Junior Emerson Coelho Luiz de Almeida Eleonora Moreira Lima Mônica Maria de Almeida Vasconcelos Flávia Cristina de Carvalho Mrad The effectiveness of parasacral transcutaneous electrical nerve stimulation in the treatment of monosymptomatic enuresis in children and adolescents: a systematic review International Brazilian Journal of Urology Systematic Review [Publication Type] Nocturnal Enuresis Transcutaneous Electric Nerve Stimulation |
| title | The effectiveness of parasacral transcutaneous electrical nerve stimulation in the treatment of monosymptomatic enuresis in children and adolescents: a systematic review |
| title_full | The effectiveness of parasacral transcutaneous electrical nerve stimulation in the treatment of monosymptomatic enuresis in children and adolescents: a systematic review |
| title_fullStr | The effectiveness of parasacral transcutaneous electrical nerve stimulation in the treatment of monosymptomatic enuresis in children and adolescents: a systematic review |
| title_full_unstemmed | The effectiveness of parasacral transcutaneous electrical nerve stimulation in the treatment of monosymptomatic enuresis in children and adolescents: a systematic review |
| title_short | The effectiveness of parasacral transcutaneous electrical nerve stimulation in the treatment of monosymptomatic enuresis in children and adolescents: a systematic review |
| title_sort | effectiveness of parasacral transcutaneous electrical nerve stimulation in the treatment of monosymptomatic enuresis in children and adolescents a systematic review |
| topic | Systematic Review [Publication Type] Nocturnal Enuresis Transcutaneous Electric Nerve Stimulation |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382024000200136&tlng=en |
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