Efficacy of transcutaneous functional electrical stimulation on urinary incontinence in myelomeningocele: results of a pilot study
PURPOSE: To investigate the efficacy of transcutaneous functional electrical stimulation (FES) on voiding symptoms in children with myelomeningocele (MMC) suffering from neuropathic urinary incontinence. MATERIALS AND METHODS: Six girls and 6 boys with moderate to severe urinary incontinence seconda...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Urologia
2010-10-01
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| Series: | International Brazilian Journal of Urology |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382010000500012 |
| _version_ | 1818590309712396288 |
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| author | Abdol-Mohammad Kajbafzadeh Lida Sharifi-Rad Seyedsaeid Dianat |
| author_facet | Abdol-Mohammad Kajbafzadeh Lida Sharifi-Rad Seyedsaeid Dianat |
| author_sort | Abdol-Mohammad Kajbafzadeh |
| collection | DOAJ |
| description | PURPOSE: To investigate the efficacy of transcutaneous functional electrical stimulation (FES) on voiding symptoms in children with myelomeningocele (MMC) suffering from neuropathic urinary incontinence. MATERIALS AND METHODS: Six girls and 6 boys with moderate to severe urinary incontinence secondary to MMC were included. Median age of children was 5.04 (range: 3-11) years. They underwent a urodynamic study (UDS) before and 3 months after FES with special attention to detrusor leak point pressure (DLPP) and maximal bladder capacity (MBC). Daily incontinence score, frequency of pad changing, and enuresis were also assessed before and three months after treatment. Fifteen courses of FES for 15 minutes 3 times per week were performed with low frequency (40 Hz) electrical current, duration of 250µs, with hold and rest time of 2 seconds. RESULTS: Nine children had improvement on urinary incontinence score, while three children had no improvement. Median DLPP was significantly increased from 38.5 (range: 12-50) cm H2O to 59.5 (range: 18-83) cm H2O (P = 0.003). MBC was significantly increased from median value of 155 (range: 60-250) mL to 200 (range: 110-300) mL (P = 0.007). CONCLUSIONS: This is a pilot study showing that FES therapy might have positive effects on improvement of voiding symptoms of MMC children with neurogenic urinary incontinence in terms of daily incontinence score and UDS parameters. |
| first_indexed | 2024-12-16T09:54:30Z |
| format | Article |
| id | doaj.art-e5e55badfed945a5ac7e55224bbbaf24 |
| institution | Directory Open Access Journal |
| issn | 1677-5538 1677-6119 |
| language | English |
| last_indexed | 2024-12-16T09:54:30Z |
| publishDate | 2010-10-01 |
| publisher | Sociedade Brasileira de Urologia |
| record_format | Article |
| series | International Brazilian Journal of Urology |
| spelling | doaj.art-e5e55badfed945a5ac7e55224bbbaf242022-12-21T22:35:58ZengSociedade Brasileira de UrologiaInternational Brazilian Journal of Urology1677-55381677-61192010-10-0136561462010.1590/S1677-55382010000500012Efficacy of transcutaneous functional electrical stimulation on urinary incontinence in myelomeningocele: results of a pilot studyAbdol-Mohammad KajbafzadehLida Sharifi-RadSeyedsaeid DianatPURPOSE: To investigate the efficacy of transcutaneous functional electrical stimulation (FES) on voiding symptoms in children with myelomeningocele (MMC) suffering from neuropathic urinary incontinence. MATERIALS AND METHODS: Six girls and 6 boys with moderate to severe urinary incontinence secondary to MMC were included. Median age of children was 5.04 (range: 3-11) years. They underwent a urodynamic study (UDS) before and 3 months after FES with special attention to detrusor leak point pressure (DLPP) and maximal bladder capacity (MBC). Daily incontinence score, frequency of pad changing, and enuresis were also assessed before and three months after treatment. Fifteen courses of FES for 15 minutes 3 times per week were performed with low frequency (40 Hz) electrical current, duration of 250µs, with hold and rest time of 2 seconds. RESULTS: Nine children had improvement on urinary incontinence score, while three children had no improvement. Median DLPP was significantly increased from 38.5 (range: 12-50) cm H2O to 59.5 (range: 18-83) cm H2O (P = 0.003). MBC was significantly increased from median value of 155 (range: 60-250) mL to 200 (range: 110-300) mL (P = 0.007). CONCLUSIONS: This is a pilot study showing that FES therapy might have positive effects on improvement of voiding symptoms of MMC children with neurogenic urinary incontinence in terms of daily incontinence score and UDS parameters.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382010000500012myelomeningocelefunctional electrical stimulationurinary incontinence |
| spellingShingle | Abdol-Mohammad Kajbafzadeh Lida Sharifi-Rad Seyedsaeid Dianat Efficacy of transcutaneous functional electrical stimulation on urinary incontinence in myelomeningocele: results of a pilot study International Brazilian Journal of Urology myelomeningocele functional electrical stimulation urinary incontinence |
| title | Efficacy of transcutaneous functional electrical stimulation on urinary incontinence in myelomeningocele: results of a pilot study |
| title_full | Efficacy of transcutaneous functional electrical stimulation on urinary incontinence in myelomeningocele: results of a pilot study |
| title_fullStr | Efficacy of transcutaneous functional electrical stimulation on urinary incontinence in myelomeningocele: results of a pilot study |
| title_full_unstemmed | Efficacy of transcutaneous functional electrical stimulation on urinary incontinence in myelomeningocele: results of a pilot study |
| title_short | Efficacy of transcutaneous functional electrical stimulation on urinary incontinence in myelomeningocele: results of a pilot study |
| title_sort | efficacy of transcutaneous functional electrical stimulation on urinary incontinence in myelomeningocele results of a pilot study |
| topic | myelomeningocele functional electrical stimulation urinary incontinence |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382010000500012 |
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