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Transcutaneous Parasacral Electrical Stimulation In The Treatment Of Refractory Monosymptomatic Enuresisis: Pilot Study - Abstract

Mila Torii Corrêa Leite, Camila Girardi Fachin, Fernanda Yuri Takamatsu, Marcia Emilia Francisco Shida, Renato Frota de Albuquerque Maranhão, José Luiz Martins




Purpose:The transcutaneous parasacral electrical stimulation (TCPSE) has been used in lower urinary tract symptoms with good results. However, the use of TCPSE for treatment of monosymptomatic enuresis (ME) has been poorly studied. The objective of this study is to evaluate the effectiveness of TCPSE in the treatment of refractory ME.

Material and Methods:Nine children followed in the Pediatric Surgery Department of Federal University of São Paulo with refractory ME underwent TCPSE, once a week for a maximum of 12 sessions, for 30 min each and at a frequency of 20 Hz. The wet nights were evaluated by bladder diary. The treatment response was scored as non-response, partial or full response. The family also graded the improvement at the end of the treatment.

Results:Partial or full response was found in 55.5% of patients. Two children showed complete remission of enuresis after 3 months follow-up. The family assessed the treatment with high scores, even in non-response. The majority of patients showed a decrease in the volume urinated in bed. There was improvement in response in two patients after three months follow-up. None relapse of symptoms after 6 months of follow up.

Conclusion: TCPSE can be indicated as feasible treatment of refractory monosymptomatic enuresis.


Keywords: urinary bladder, nocturnal enuresis, children, electrical stimulation, transcutaneous electric nerve stimulation