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

16:26 - 16:30

ICCS S2-4

(SO)

PREDICTORS OF PARASACRAL TRANSCUTANEOUS NEUROSTIMULATION (TENS)

FAILURE IN CHILDREN WITH OVERACTIVE BLADDER

Ubirajara BARROSO

, Clara SAMPAIO

, Anselmo HOFFMANN

, Ana Aparecida NASCIMENTO

, José Murillo BASTOS

NETTO

and Maria Luiza VEIGA

1) Bahiana School of Medicine, Federal University of Bahia, Pediatric Urology, Salvador, BRAZIL - 2) Bahiana School of

Medicine, Urology, Salvador, BRAZIL - 3) Bahiana School of Medicine, Psychology, Salvador, BRAZIL - 4) Federal

University of Juiz de Fora, Urology, Salvador, BRAZIL - 5) Bahiana School of Medicine, Physiotherapy, Salvador, BRAZIL

PURPOSE

Parasacral TENS has been an effective method for treating children with overactive bladder (OAB). However, we still do

not know the clinical characteristics that may be associated with a worse outcome. Therefore, the aim of this study is to

evaluate the predictors of the outcomes of parasacral TENS in the treatment of OAB in children.

MATERIAL AND METHODS

This is a prospective study of children with symptoms of isolated OAB who were treated consecutively with parasacral

TENS. OAB was defined as the presence of urgency.Isolated OAB was defined as the presence of these symptms but no

sign of dysfunctional voiding. The symptoms were considered completely resolved when the parentes/patients reported

100% improvement in the visual analogic scale (VAS). Parasacral TENS were performed 3 times a week, 10 HZ,

sessions of 20 min. Predictors evaluated: gender, frequency, enuresis,intensity of urgency, daytime incontinence and its

intensity, nocturia and hold maneuvers.

RESULTS

Out of 84 patients (age ranged from 4 to 17 years), 48 (57%) had the symptoms resolved. Before treatment 54 (64%)

children were famale, 71 (84%) had urgeincontinence, 48 (57%) frequency, 33 nocturia, 60 (71%) holding maneuvers,

56 (57%) enuresis, 29 (51%) constipation (57 patients were evaluated with Rome III) and 59 (70%) has a history of

UTI. Only enuresis was associated with the outcome. Out of 56 patients with enuresis 26 (46%) had the symptom

resolved. Out of 28 patients without enuresis, OAB resolved in 22 (79%).

CONCLUSIONS

Enuresis was the only symptoms associated with outcome after parasacral TENS.