Early treatment improves urodynamic prognosis in neurogenic voiding dysfunction: 20 years of experience

Monteiro, Lucia Maria Costa; Cruz, Glaura O.; Fontes, Juliana Marin; Vieira, Eliane T.R.C.; Santos, Eloá Nunez; Araújo, Grace Ferreira de; Ramos, Eloane Gonçalves

doi:10.1016/j.jpedp.2017.04.004

Cited by 5 publications

(15 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The use of TENS may be an option for those patients who do not respond well to conventional treatment for NDO, or who present side effects to medications, which leads to low adherence to treatment as shown in previous studies. 3 Patients may benefit by having their bladder pressure reduced, and, consequently, reducing NDO morbidity and improving their quality of life. This technique, if effectively proven, can be easily administered by trained professionals, such as pelvic physiotherapists in clinics and hospitals.…”

Section: Discussionmentioning

confidence: 99%

“…Delay in both diagnosis and early intervention increases the risk of the renal lesion. 3,4 Compliance to treatment has been a problem. A recently published review (20 years follow-up of 230 patients with NB) confirmed that among the 230 patients included, only 49% complied with their regular treatment schedule, and 32% fail to improve risk patterns at the first posttreatment evaluation.…”

Section: Introductionmentioning

confidence: 99%

“…A recently published review (20 years follow-up of 230 patients with NB) confirmed that among the 230 patients included, only 49% complied with their regular treatment schedule, and 32% fail to improve risk patterns at the first posttreatment evaluation. 3 New treatment options are being tested and the transcutaneous electrical nerve stimulation (TENS) is a possible new resource. It has been widely used in children with non-NBs with a very good response and also with promising results in adults with NB.…”

Section: Introductionmentioning

confidence: 99%

“…The treatment for patients with NB is well established and recommends the use of anticholinergic drugs combined with clean intermittent catheterization (CIC) to reduce the pressure levels and increase bladder capacity. Delay in both diagnosis and early intervention increases the risk of the renal lesion . Compliance to treatment has been a problem.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Immediate effect of transcutaneous electrical nerve stimulation on urodynamic parameters of children with myelomeningocele

Dombek

Monteiro

Fontes

et al. 2019

Neurourology and Urodynamics

Self Cite

View full text Add to dashboard Cite

Objective To evaluate the immediate response of electrical stimulation in children with neurogenic bladder (NB) due to myelomeningocele, using the urodynamic study (UDS). Methods This is a nonrandomized intervention study with 26 children with neurogenic overactive bladder and low bladder compliance due to myelomeningocele, aged 5 to 15 years. Each child performed a routine UDS and then a second UDS, during which the electrical stimulation was applied in the parasacral region. The main outcome was the difference in the maximum bladder pressure observed between the two urodynamic studies, analyzed from the paired t test. Results We found that 77% of the patients had a lower maximum bladder pressure in the test with electrostimulation compared with the ones without electrostimulation. On average, the pressure reduction after stimulation was 7.24 cmH2O (95% confidence interval [CI], 0.35‐14.14; P = .04). The reduction was even higher in children under 12 years of age, compared with the children above 12 years (11.29 cmH2O, 95% CI, 3.47‐19.12; P = .01). Conclusion The use of transcutaneous electrical nerve stimulation had a significant immediate effect on reducing the maximum bladder pressure during the urodynamic studies among the tested pediatric patients with NB. The results were more significant among children under 12 years of age.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Immediate effect of transcutaneous electrical nerve stimulation on urodynamic parameters of children with myelomeningocele

Dombek

Monteiro

Fontes

et al. 2019

Neurourology and Urodynamics

Self Cite

View full text Add to dashboard Cite

show abstract

“…2 All cohorts of patients benefit from early evaluation and institution of appropriate treatment. 3 Furthermore, cohorts share common goals of treatment: to minimize or prevent damage to the upper urinary tract and bladder and to maximize safe, social continence.…”

mentioning

confidence: 99%

Medical Management of Neurogenic Bladder for Children and Adults: A Review

Lucas

2019

Topics in Spinal Cord Injury Rehabilitation

View full text Add to dashboard Cite

Neurogenic bladder is a chronic condition affecting patients of all ages with significant medical and quality of life implications. Goals of treatment consist of protection of the upper urinary tract and promotion of reliable urinary continence. Successful management involves medications and most often bladder drainage via clean intermittent catheterization. This article reviews current literature on medical management to achieve goals of treatment.

show abstract

Urological outcomes in children with congenital Zika syndrome: The experience of a cohort in Campina Grande, Brazil

Ferreira

Pinheiro

Melo

et al. 2022

Tropical Med Int Health

View full text Add to dashboard Cite

Objective To describe the urological outcomes in children with congenital Zika syndrome (CZS) and investigate the relationship between clinical and urological findings in this population. Methods This cross‐sectional study involved children with CZS followed up by a referral centre for children with microcephaly in the state of Paraiba in northeast Brazil. The urological evaluation included clinical history, urine culture results, ultrasonography of the urinary tract, and urodynamic evaluation, following the protocol proposed by Costa Monteiro et al. (2017). Descriptive statistical analysis was performed in addition to association and correlation tests, considering clinical and urodynamic variables. Results Among the 88 children with CZS (35.5 ± 5.5 months), 97.7% had microcephaly, and 51% presented urinary tract infection (UTI) confirmed with clinical history and lab tests. The number of confirmed UTI episodes varied from one to 14 per child. The urodynamic evaluation confirmed the presence of an overactive bladder in 78 children and incomplete voiding in 50. Urodynamic findings were associated with the number of confirmed UTI episodes, child's sex, and actual weight, in addition to the use of anticonvulsant and myorelaxant drugs. Conclusions UTIs were confirmed in most children. Other urological outcomes observed were overactive bladder and low bladder capacity, which were associated with the number of confirmed UTI episodes, use of anticonvulsants and myorelaxants, and the child's sex and weight. These are treatable conditions, and it is paramount that paediatricians, neonatologists, and infectious disease specialists are aware of them to make clinical decisions and help reduce the risk of renal damage and other morbidities.

show abstract

Early treatment improves urodynamic prognosis in neurogenic voiding dysfunction: 20 years of experience

Cited by 5 publications

References 17 publications

Immediate effect of transcutaneous electrical nerve stimulation on urodynamic parameters of children with myelomeningocele

Immediate effect of transcutaneous electrical nerve stimulation on urodynamic parameters of children with myelomeningocele

Medical Management of Neurogenic Bladder for Children and Adults: A Review

Urological outcomes in children with congenital Zika syndrome: The experience of a cohort in Campina Grande, Brazil

Contact Info

Product

Resources

About