We found that parasacral transcutaneous electrical nerve stimulation is more effective in resolving overactive bladder symptoms, which matches parental perception. However, there were no statistically significant differences in the evaluation by dysfunctional voiding symptom score, or in complete resolution of urgency or diurnal incontinence.

A B S T R A C TLeprosy is a disease that potentially affects adults with a long latency period of 3 to 5 years. However, children are prone to acquire the disease especially in places of high prevalence and poor epidemiologic control. The surgical decompression is an ancillary method of treatment, although recent investigations call attention for the similarity of results of conservative management. The objective of this study, then, was to call attention for surgical indication in leprosy patients with ulnar impairment soon after failure of conservative management. The authors describe and analyze a case of an outpatient operated child with ulnar nerve involvement by leprosy after 1 year of clinical treatment and failure. The predominant symptoms were pain and physical deformity. There was a great improvement following the surgery even after delayed operation. The surgical intervention is sometimes necessary to avoid deformities although more randomized series must confi rm the superiority of surgery in relation to clinical management in some cases.