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

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ESPUN S7: LOW TRACT URINARY
Moderators: Brigitta Karanikas (Sweden) & Laila Mantegazzi (Switzerland)
ESPU-Nurses Meeting on Thursday 15, October 2015, 11:35 - 12:00
11:35 - 11:40
ESPUN S7-1 (PP)
PERCUTANEOUS TIBIAL NEUROSTIMULATION : EFFECTIVENESS AND TOLERANCE
IN OVERACTIVE BLADDER IN CHILDREN. LITTERATURE REVIEW.
Ania BENNOUR1, Remi BESSON 2, Rene-Hilaire PRISO2, Anne TEMMEN3 and Annie LAHOCHE4
1) CHRU Lille Hopital Jeanne de Flandre, Néphrologie pédiatrique, Lille, FRANCE - 2) CHRU Lille Hopital Jeanne de
Flandre, Pediatric urology, Lille, FRANCE - 3) CHRU Lille Hopital Jeanne de Flandre, Physiology, Lille, FRANCE - 4) CHRU
Lille Hopital Jeanne de Flandre, Pediatric nephrology, Lille, FRANCE
PURPOSE
Dysfunctional voiding is a prevalent pediatric urologic problem. Overactive bladder (OAB) is the most common voiding
dysfunction in children.
RESULTS
The peak incidence of OAB is between the ages of 5 and 7 years. 20 % of 7 years old children have urgenturies, 20 % of
4-6 years old children are incontinent during the day occasionnally.
Daytime involuntary wettings become a social problem for children and their family, decrease quality of life, increase
social isolation.
High pressures during bladder filling are associated with high incidence of vesico-ureteral reflux almong children with
OAB. The incidence of recurrent (upper and lower), urinary tract infections is high in children with OAB. Both mecanisms
further the development of chronic renal failure. 20 % of children have a refractory OAB to conventional management.
Bladder neurostimulation has gained acceptance in adults, also in children with electric stimulation posterior tibial nerve
stimulation (PTNS).
Good results (efficiency, tolerance, acceptance), with percutaneous stimulation for bladder instability in children were
reported byHoebecke and al, De Gennaro and al, Capitannuci and al.
As a long term treatment, some suggest to follow the benefic effects of PTNS, by a chronic stimulation.
Prospectiv studies are necessary to establish a common management for OAB in children between the different centers
in France (stimulation frequency, time of session, frequency of sessions).
CONCLUSIONS
PTNS may represent an attractive non invasive treatment modality for non neurogenic bladder dysfunction in children,
resistant to conventional urotherapy.