No immediate effect on urodynamic parameters during transcutaneous electrical nerve stimulation (TENS) in children with overactive bladder and daytime incontinence-A randomized, double-blind, placebo-controlled study

Borch, Luise; Rittig, S; Kamperis, Konstantinos; Mahler, Birgitte; Djurhuus, Jens Christian; Hagstrøm, Søren

doi:10.1002/nau.23179

Cited by 17 publications

(11 citation statements)

References 31 publications

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“…Twenty-nine articles were excluded because they did not provide useful data, and 1 article was excluded because it described an experiment. Eight papers described RCTs [14][15][16][17][18][19][20][21] evaluating the effects of TENS treatment in children on urodynamic indexes and objective OAB symptoms. Details on the studies and characteristics of the patients are shown in Table 1.…”

Section: Study Selection Process Search Results and Characteristicsmentioning

confidence: 99%

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Role of Transcutaneous Electrical Nerve Stimulation in Treating Children With Overactive Bladder From Pooled Analysis of 8 Randomized Controlled Trials

Cui

et al. 2020

Int Neurourol J

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Purpose: Transcutaneous electrical neural stimulation (TENS), as a non-invasive modality, has been clinically used as an alternative treatment for children with overactive bladder (OAB). We conducted a pooled analysis to explore the effect of TENS on OAB.Methods: The Preferred Reporting Items for Systematic Reviews and Meta-analysis guideline was followed in this study. The MEDLINE, Embase, and Cochrane Central Register of Controlled Trials databases, as well as the reference lists of the retrieved studies, were used to find trials relevant for assessing the use of TENS to treat OAB.Results: Of the 246 records identified, 8 publications were analyzed in our study. Our analysis found that TENS resulted in a greater decrease of wet days/wk, daily voiding frequency, daily incontinence episodes, and daily number of voids than was observed in the control group. Furthermore, TENS-treated patients showed similar visual analogue scale (VAS) scores to patients in the control group, demonstrating that the application of TENS did not increase patients’ discomfort and pain. TENS had a relative advantage in the number of partial responses, but no clear differences were found in frequency of no response or a full response compared to the control group. In urodynamic testing, TENS led to obvious improvements in average voided volume and maximum voided volume in children with OAB.Conclusions: TENS had a remarkable effect on the improvement of urodynamic indexes and objective OAB symptoms without a significant increase in VAS scores for children with OAB.

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Section: Study Selection Process Search Results and Characteristicsmentioning

confidence: 99%

“…All 8 of the studies included in our meta-analysis followed a randomization process. Five papers [14,15,18,19] had an appropriate calculation of the number of patients. Two studies [19,20] did not specify a blinding protocol, with a Jadad score of B (Table 2).…”

Section: Risk Of Bias In the Studiesmentioning

confidence: 99%

Role of Transcutaneous Electrical Nerve Stimulation in Treating Children With Overactive Bladder From Pooled Analysis of 8 Randomized Controlled Trials

Cui

et al. 2020

Int Neurourol J

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“…However, no differences were seen in maximal and average voided volumes or urodynamic data. 71 , 72 Another group studied the additional effect of parasacral stimulation in patients receiving urotherapy; 73 62 children with OAB were randomized either to urotherapy alone or combined with parasacral stimulation. In the standard group, 46% were completely dry versus 67% in the combined group; this was not significant.…”

Section: Resultsmentioning

confidence: 99%

Effectiveness of percutaneous tibial nerve stimulation in the treatment of overactive bladder syndrome

Wall¹,

Heesakkers²

2017

RRU

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Overactive bladder syndrome (OAB) is a common condition affecting adults and children worldwide, resulting in a substantial economic and psychological burden. Percutaneous tibial nerve stimulation (PTNS) is derived from acupuncture used in Chinese traditional medicine and was first described in the early 1980s. It is a neuromodulation technique used to modulate bladder function and facilitate storage. Being a minimally invasive, easily applicable, but time-consuming treatment, future developments with implantable devices might be the solution for the logistical problems and economic burden associated with PTNS on the long term. This nonsystematic review provides a current overview on PTNS and its effectiveness in the treatment of OAB for both adults and children.

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“…10 Percutaneous tibial nerve stimulation (PTNS) and SNS have similar mechanisms of effect. [16][17][18] In the present study, TENS electrodes were placed bilaterally below and approximately 15-cm above the malleolus medialis to carry out TTNS. 10 The exact mechanism and neurological pathways underlying the improvements observed with PTNS and TTNS remain unclear.…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies have used TTNS for the treatment of urinary incontinence, active bladder, fecal incontinence and anal fissure. [16][17][18] In the present study, TENS electrodes were placed bilaterally below and approximately 15-cm above the malleolus medialis to carry out TTNS. This method achieved substantial improvement in the symptoms of geriatric patients with constipation.…”

Section: Discussionmentioning

confidence: 99%

Effects of bilateral transcutaneous tibial nerve stimulation on constipation severity in geriatric patients: A prospective clinical study

Gökçe

2019

Geriatrics Gerontology Int

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Aim: Constipation is the most common digestive complaint in the general population, and one of the most frequently encountered health problems in the geriatric population. In the present study, we aimed to determine whether bilateral transcutaneous tibial nerve stimulation affects constipation severity in geriatric patients with refractory chronic constipation.Methods: Bilateral transcutaneous tibial nerve stimulation was carried out three times per week for 30 min in geriatric patients aged >65 years with less than three defecations per week. The patients were evaluated, and constipation severity was compared before the treatment, at the end of the 6-week treatment and 12 weeks after the end of the treatment.Results: Assessment carried out using the Constipation Severity Instrument showed that the scores for subscales; that is, obstructive defecation, colonic inertia and pain, improved significantly by the end of the treatment compared with the scores obtained before the treatment. Furthermore, the improvement in pain continued for 12 weeks after the treatment, and although there was a slight decrease in the scores for the other subscales, they significantly improved compared with the scores obtained before the treatment.Conclusions: During the 12-week follow-up period, bilateral transcutaneous tibial nerve stimulation significantly improved constipation severity in geriatric patients with refractory chronic constipation. We believe that this easy-to-use and low-cost method can be applied to eligible geriatric patients who cannot be treated through dietary adjustments and/or medical interventions.

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No immediate effect on urodynamic parameters during transcutaneous electrical nerve stimulation (TENS) in children with overactive bladder and daytime incontinence-A randomized, double-blind, placebo-controlled study

Abstract: There is no immediate objective effect of TENS on bladder activity assessed by natural fill urodynamics in children with OAB and DUI.

Cited by 17 publications

References 31 publications

Role of Transcutaneous Electrical Nerve Stimulation in Treating Children With Overactive Bladder From Pooled Analysis of 8 Randomized Controlled Trials

Role of Transcutaneous Electrical Nerve Stimulation in Treating Children With Overactive Bladder From Pooled Analysis of 8 Randomized Controlled Trials

Effectiveness of percutaneous tibial nerve stimulation in the treatment of overactive bladder syndrome

Effects of bilateral transcutaneous tibial nerve stimulation on constipation severity in geriatric patients: A prospective clinical study

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