Nonpharmacological treatment of lower urinary tract dysfunction using biofeedback and transcutaneous electrical stimulation: a pilot study

Detalhes bibliográficos
Autor(a) principal: Barroso Junior, Ubirajara [UNIFESP]
Data de Publicação: 2006
Outros Autores: Lordelo, Patricia, Lopes, Antonio Alberto, Andrade, Juarez [UNIFESP], Macedo Junior, Antonio [UNIFESP], Ortiz, Valdemar [UNIFESP]
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNIFESP
dARK ID: ark:/48912/001300000rrsr
Texto Completo: http://dx.doi.org/10.1111/j.1464-410X.2006.06264.x
http://repositorio.unifesp.br/handle/11600/28991
Resumo: OBJECTIVE To report a series of children with lower urinary tract dysfunction (LUTD) whose urge syndrome was treated by electrical stimulation, and their voiding dysfunction by biofeedback; none of the children were using anticholinergic drugs during treatment.PATIENTS and METHODS in all, 36 children who presented with symptoms of urinary urgency and/or daily incontinence completed the treatment and were prospectively evaluated. the mean (range) follow-up was 13.8 (4-24) months, and their mean age 7 (3-14) years, 17 children were aged < 5 years. the children were divided into two groups: group 1, with urge syndrome treated with superficial parasacral electrical stimulation, and group 2, with voiding dysfunction, treated with biofeedback.RESULTS in group 1, the mean (range) number of electrical stimulation sessions was 13.1 (4-20). of the 19 children treated, 12 had a complete clinical improvement, six a significant improvement, and one a mild improvement. in group 2, the mean (range) number of biofeedback sessions was 6 (4-14). of the 17 children treated, there was complete improvement of symptoms in 10, significant improvement in two and mild improvement in five. Six children who had no resolution of symptoms after biofeedback had salvage therapy with electrical stimulation, after which four had complete improvement of symptoms, and two a 90% and 40% improvement, respectively. Taking the two groups together, after treatment, four children developed isolated episodes of urinary tract infection. of 21 children with nocturnal enuresis, bed-wetting continued in 13 (62%) after treatment.CONCLUSION in this short-term follow-up, the nonpharmacological treatment of voiding dysfunction using biofeedback, and of urge syndrome by electrical stimulation, was effective for treating LUTD in children.
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spelling Nonpharmacological treatment of lower urinary tract dysfunction using biofeedback and transcutaneous electrical stimulation: a pilot studyUrinary tract infectionbladderChildrendysfunctionneurogenic bladdervesico-ureteric refluxOBJECTIVE To report a series of children with lower urinary tract dysfunction (LUTD) whose urge syndrome was treated by electrical stimulation, and their voiding dysfunction by biofeedback; none of the children were using anticholinergic drugs during treatment.PATIENTS and METHODS in all, 36 children who presented with symptoms of urinary urgency and/or daily incontinence completed the treatment and were prospectively evaluated. the mean (range) follow-up was 13.8 (4-24) months, and their mean age 7 (3-14) years, 17 children were aged < 5 years. the children were divided into two groups: group 1, with urge syndrome treated with superficial parasacral electrical stimulation, and group 2, with voiding dysfunction, treated with biofeedback.RESULTS in group 1, the mean (range) number of electrical stimulation sessions was 13.1 (4-20). of the 19 children treated, 12 had a complete clinical improvement, six a significant improvement, and one a mild improvement. in group 2, the mean (range) number of biofeedback sessions was 6 (4-14). of the 17 children treated, there was complete improvement of symptoms in 10, significant improvement in two and mild improvement in five. Six children who had no resolution of symptoms after biofeedback had salvage therapy with electrical stimulation, after which four had complete improvement of symptoms, and two a 90% and 40% improvement, respectively. Taking the two groups together, after treatment, four children developed isolated episodes of urinary tract infection. of 21 children with nocturnal enuresis, bed-wetting continued in 13 (62%) after treatment.CONCLUSION in this short-term follow-up, the nonpharmacological treatment of voiding dysfunction using biofeedback, and of urge syndrome by electrical stimulation, was effective for treating LUTD in children.Univ Fed Bahia, Sect Paediat Urol, Div Urol, Bahiana Sch Med & Publ Hlth, BR-41170290 Salvador, BA, BrazilUniversidade Federal de São Paulo, São Paulo, BrazilUniversidade Federal de São Paulo, São Paulo, BrazilWeb of ScienceBlackwell PublishingUniversidade Federal da Bahia (UFBA)Universidade Federal de São Paulo (UNIFESP)Barroso Junior, Ubirajara [UNIFESP]Lordelo, PatriciaLopes, Antonio AlbertoAndrade, Juarez [UNIFESP]Macedo Junior, Antonio [UNIFESP]Ortiz, Valdemar [UNIFESP]2016-01-24T12:41:16Z2016-01-24T12:41:16Z2006-07-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion166-171http://dx.doi.org/10.1111/j.1464-410X.2006.06264.xBju International. Oxford: Blackwell Publishing, v. 98, n. 1, p. 166-171, 2006.10.1111/j.1464-410X.2006.06264.x1464-4096http://repositorio.unifesp.br/handle/11600/28991WOS:000238948900036ark:/48912/001300000rrsrengBju Internationalinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2022-09-19T22:26:16Zoai:repositorio.unifesp.br/:11600/28991Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-12-11T20:33:39.998577Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.none.fl_str_mv Nonpharmacological treatment of lower urinary tract dysfunction using biofeedback and transcutaneous electrical stimulation: a pilot study
title Nonpharmacological treatment of lower urinary tract dysfunction using biofeedback and transcutaneous electrical stimulation: a pilot study
spellingShingle Nonpharmacological treatment of lower urinary tract dysfunction using biofeedback and transcutaneous electrical stimulation: a pilot study
Barroso Junior, Ubirajara [UNIFESP]
Urinary tract infection
bladder
Children
dysfunction
neurogenic bladder
vesico-ureteric reflux
title_short Nonpharmacological treatment of lower urinary tract dysfunction using biofeedback and transcutaneous electrical stimulation: a pilot study
title_full Nonpharmacological treatment of lower urinary tract dysfunction using biofeedback and transcutaneous electrical stimulation: a pilot study
title_fullStr Nonpharmacological treatment of lower urinary tract dysfunction using biofeedback and transcutaneous electrical stimulation: a pilot study
title_full_unstemmed Nonpharmacological treatment of lower urinary tract dysfunction using biofeedback and transcutaneous electrical stimulation: a pilot study
title_sort Nonpharmacological treatment of lower urinary tract dysfunction using biofeedback and transcutaneous electrical stimulation: a pilot study
author Barroso Junior, Ubirajara [UNIFESP]
author_facet Barroso Junior, Ubirajara [UNIFESP]
Lordelo, Patricia
Lopes, Antonio Alberto
Andrade, Juarez [UNIFESP]
Macedo Junior, Antonio [UNIFESP]
Ortiz, Valdemar [UNIFESP]
author_role author
author2 Lordelo, Patricia
Lopes, Antonio Alberto
Andrade, Juarez [UNIFESP]
Macedo Junior, Antonio [UNIFESP]
Ortiz, Valdemar [UNIFESP]
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Universidade Federal da Bahia (UFBA)
Universidade Federal de São Paulo (UNIFESP)
dc.contributor.author.fl_str_mv Barroso Junior, Ubirajara [UNIFESP]
Lordelo, Patricia
Lopes, Antonio Alberto
Andrade, Juarez [UNIFESP]
Macedo Junior, Antonio [UNIFESP]
Ortiz, Valdemar [UNIFESP]
dc.subject.por.fl_str_mv Urinary tract infection
bladder
Children
dysfunction
neurogenic bladder
vesico-ureteric reflux
topic Urinary tract infection
bladder
Children
dysfunction
neurogenic bladder
vesico-ureteric reflux
description OBJECTIVE To report a series of children with lower urinary tract dysfunction (LUTD) whose urge syndrome was treated by electrical stimulation, and their voiding dysfunction by biofeedback; none of the children were using anticholinergic drugs during treatment.PATIENTS and METHODS in all, 36 children who presented with symptoms of urinary urgency and/or daily incontinence completed the treatment and were prospectively evaluated. the mean (range) follow-up was 13.8 (4-24) months, and their mean age 7 (3-14) years, 17 children were aged < 5 years. the children were divided into two groups: group 1, with urge syndrome treated with superficial parasacral electrical stimulation, and group 2, with voiding dysfunction, treated with biofeedback.RESULTS in group 1, the mean (range) number of electrical stimulation sessions was 13.1 (4-20). of the 19 children treated, 12 had a complete clinical improvement, six a significant improvement, and one a mild improvement. in group 2, the mean (range) number of biofeedback sessions was 6 (4-14). of the 17 children treated, there was complete improvement of symptoms in 10, significant improvement in two and mild improvement in five. Six children who had no resolution of symptoms after biofeedback had salvage therapy with electrical stimulation, after which four had complete improvement of symptoms, and two a 90% and 40% improvement, respectively. Taking the two groups together, after treatment, four children developed isolated episodes of urinary tract infection. of 21 children with nocturnal enuresis, bed-wetting continued in 13 (62%) after treatment.CONCLUSION in this short-term follow-up, the nonpharmacological treatment of voiding dysfunction using biofeedback, and of urge syndrome by electrical stimulation, was effective for treating LUTD in children.
publishDate 2006
dc.date.none.fl_str_mv 2006-07-01
2016-01-24T12:41:16Z
2016-01-24T12:41:16Z
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1111/j.1464-410X.2006.06264.x
Bju International. Oxford: Blackwell Publishing, v. 98, n. 1, p. 166-171, 2006.
10.1111/j.1464-410X.2006.06264.x
1464-4096
http://repositorio.unifesp.br/handle/11600/28991
WOS:000238948900036
dc.identifier.dark.fl_str_mv ark:/48912/001300000rrsr
url http://dx.doi.org/10.1111/j.1464-410X.2006.06264.x
http://repositorio.unifesp.br/handle/11600/28991
identifier_str_mv Bju International. Oxford: Blackwell Publishing, v. 98, n. 1, p. 166-171, 2006.
10.1111/j.1464-410X.2006.06264.x
1464-4096
WOS:000238948900036
ark:/48912/001300000rrsr
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Bju International
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 166-171
dc.publisher.none.fl_str_mv Blackwell Publishing
publisher.none.fl_str_mv Blackwell Publishing
dc.source.none.fl_str_mv reponame:Repositório Institucional da UNIFESP
instname:Universidade Federal de São Paulo (UNIFESP)
instacron:UNIFESP
instname_str Universidade Federal de São Paulo (UNIFESP)
instacron_str UNIFESP
institution UNIFESP
reponame_str Repositório Institucional da UNIFESP
collection Repositório Institucional da UNIFESP
repository.name.fl_str_mv Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)
repository.mail.fl_str_mv biblioteca.csp@unifesp.br
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