Abstract Book - 26th ESPU Congress, Joint Meeting with ICCS + SPU + AAP/SOU + AAPU + SFU

ESPUN S6: POSTERS

Moderators: Brigitta Karanikas (Sweden) & Anna Giambonini (Switzerland)

ESPU-Nurses Meeting on Thursday 15, October 2015, 11:15 - 11:35

11:15 - 11:20

ESPUN S6-1

(PP)

ADVANTAGES OF TRANSUTANEOUS ELECTRICAL NERVE STIMULATION OF THE

TIBIAL NERVE IN PATIENTS PRESENTING VESICAL EXSTROPHY

Adrien BARRIER and Remi BESSON

Hopital jeanne de flandre, Chirurgie pédiatrique, Lille, FRANCE

PURPOSE

Transcutaneous electrical nerve stimulation (TENS) of the tibial nerve is used to treat urinary symptoms among adult

patients. Vesical exstrophy is a rare pathology, commonly complicated of urinary leakage. TENS could be useful for

children as well.

MATERIAL AND METHODS

Sixteen patients (12 boys, 4 girls) who underwent surgery for vesical exstrophy (14 patients) or epispadias (2 patients)

and presenting urinary leakage were treated by TENS on their tibial nerve between july 2014 and February 2014.

Symptoms were evaluated by a questionnaire and a Pad test before and after treatment. The follow up lasted for a

month and the patients were examinated by kinesiologists and pediatric urologist.

RESULTS

TENS treatment lowered the amount of urinary leakage in 11 patients (2 girls, 9 boys): 9 cases of vesical exstrophy and

2 cases of epispadias. They needed less urinary protection, especially during night time. Even though the objective

benefit might have been low, most patients were satisfied with this treatment. Placebo effect possibly played an

important role for the patients and their parents.Two patients didn’t get benefits from the treatment. Two patients

stopped the treatment: one switched to self catheterization, the other one stopped the treatment because it was too

demanding.

CONCLUSIONS

In this preliminary study, the benefit on urinary symptoms was noted among patients with low rates of urinary leakage.

It is an advantage for the socialization of these children. TENS for patients presenting vesical exstrophy appears to be

efficient on urinary leakage. It is non invasive, cheap and reassuring for the patient’s parents.