Summary
Objective
To assess the impact of parasacral transcutaneous electrical nerve stimulation (parasacral
TENS) on quality of life (QoL) and psychological aspects in children treated for overactive
bladder (OAB).
Methods
This international, multicenter, prospective cohort study involved individuals of
6–16 years of age under TENS treatment for OAB. The study was conducted between June
2016 and December 2019 in four participating centers: two in Australia, one in Germany
and one in Brazil. Patients with anatomical and/or neurological abnormalities of the
urinary tract were excluded. Questionnaires were applied before and after parasacral
TENS treatment: the Dysfunctional Voiding Symptom Score (DVSS), used in Brazil, or
the International Consultation on Incontinence Questionnaire - Pediatric Lower Urinary
Tract Symptoms (ICIQ-CLUTS), used in Germany and Australia, to analyze urinary symptoms;
the Strengths and Difficulties Questionnaire (SDQ) to assess emotional and behavioral
aspects; and the Pediatric Incontinence Questionnaire (PinQ) for bladder-specific
Qol.
Results
Fifty-three patients (28 girls and 25 boys) with a mean age of 8.64 ± 2.63 years were
included. Median DVSS was 11 (range 6–13.5) and 3 (range 0–7), (p < 0.001), and median
ICIQ-CLUTS was 12 (range 9–14) and 9 (range 5.7–12), (p < 0.001), before and after
treatment, respectively. Median PinQ score decreased from 47.8 (range 38.9–59.7) to
39 (range 29–53.15) following treatment (p = 0.04). Median total SDQ score before
and after treatment was 17 (range 13.5–21) and 15 (range 12–21), respectively (p = 0.939).
Conclusion
Summary TableComparison of quality of life (PinQ) scores before and after treatment with Parasacral
TENS.
Analyze | M (IR) PinQ | p∗-value | N | |
---|---|---|---|---|
Baseline | End of Treatment | |||
Total sample | ||||
47.8 (38.9–59.7) | 39 (29–53.15) | 0.04 | 37 |
Questionnaire; M = Median; IR = Interquartile range; N = number of patients.
Keywords
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Article info
Publication history
Published online: October 07, 2022
Accepted:
October 6,
2022
Received in revised form:
September 29,
2022
Received:
January 24,
2022
Identification
Copyright
© 2022 Published by Elsevier Ltd on behalf of Journal of Pediatric Urology Company.