Vpliv trajanja zdravljenja na učinkovitost maksimalne električne stimulacije pri otrocih z nenevrogenim čezmerno aktivnim sečnim mehurjem in s težavami pri mokrenju
Influence of the duration of treatment on the effectiveness of anal maximal electrical stimulation in children with nonneurogenic overactive bladder and micturition problems

english

2012

volume 81, issue 1

Bladder, Neurogenic   Child   Electric Stimulation Therapy   Enuresis   Prospective Studies   Therapy   Treatment Outcome   Urinary Incontinence

Slovensko zdravniško društvo
(Obvezni izvod spletne publikacije)

Background: To compare the effectiveness of one-month and two-month courses ofmaximal electrical stimulation (MES) in treating children with non-neurogenic overactive bladder and micturition problems. Methods: 90 girls with cystometrically confirmed idiopathic detrusor hyperactivity associatedwith nocturnal enuresis and/or daytime urinary incontinence were enrolled in a prospective, randomized study and underwent pelvic floor stimulation treatment 20 minutes a day for either one month (45 girls) or two months (45 girls). All nocturnal and diurnal incontinence episodes were recorded for one month before the start of treatment and one month after its completion. Cystometry was performed one week before the beginning of treatment and one month after its completion. The Wilcoxon matched-pair test and Mann-Whitney test were used for statistical evaluation. Results: After treatment with MES, 17 out of 90 patients were not included in the processing of statistical data. Thirty girls treated for one month had a significant decrease in the median number of monthly nocturnal incontinence episodes (from9.5 to 4.5, p < 0.05); 43 girls treated for two months had a significant reduction in the median number of monthly nocturnal incontinence episodes (from 14.5 to 7.5, p < 0.001) as well as in the median number of monthly daytime incontinence episodes (from 5 to 0, p < 0.01). However, the changes inclinical parameters observed after treatment with MES did not differ significantly between the two groups. In the one-month group only the number of involuntary detrusor contractions changed significantly (from 3 to 1, p < 0.05). In the two-month group there was a significant change in the number of involuntary detrusor contractions (from 2 to 0, p < 0.01) as well as in the maximum cystometric capacity (from 250 to 280 ml, p < 0.001) and compliance (from 12.5 to 20.5 ml/cm, p<0.001). (Abstract truncated at 2000 characters)

14.08.2013