Author/Editor		Tršinar, B; Kralj, B
Title		Maximal electrical stimulation in children with unstable bladder and nocturnal enuresis and/or daytime incontinence: a controlled study
Type		članek
Source		Neurourol Urodyn
Vol. and No.		Letnik 15
Publication year		1996
Volume		str. 133-42
Language		eng
Abstract		The aim of this study was to investigate clinical and urodynamic effects of anal MES in children with unstable bladder and micturition problems (nocturnal enuresis and/or daytime incontinence). Seventy-three girls, aged 5 to 17 years, mean age 9.7 years, with cystometrically proved idiopathic detrusor instability and noctural enuresis and/or daytime incontinence, were treated by maximal electrical stimulation (MES) for 1 to 2 months. Twenty-one girls, aged 6 to 14 years, mean age 9.3 years, with unstable bladder and micturition problems used only the anal plug without a battery for 1 month and served as the control group. Four and a half months (1-36 months) after the end of treatment, 75% of the stimulated patients were cured or improved bz 50% or more. In the control group, 86% of the girls remained unchanged (P <0.01). One month after the completion of anal MES the average number of monthly nocturnal eneuretic episodes fell from 14 to 6.5 (P<0.001) and the number of daytime incontinence episodes diminished from 3 to 0 (P<0.001). On an average of 14.5 month after the end of anal MES, enuresis recurred in 20% of cases. Post-MES cystometry showed intensified first desire to void (P<0.0001), bladder compliance (P<0.0001), and volume of the first detrusor contraction (P<0.01). A statistically significant decline in the number of uninhibited contractions was also noticed (P,0.001). In the control group, the anal plug did not produce any significant cystometrical changes. Anal MES can be recommended as an effective method for treating nocturnal enuresis and/or daytime incontinence and unstable bladder in children.
Descriptors		URINARY INCONTINENCE ELECTRIC STIMULATION THERAPY CHILD ENURESIS URODYNAMICS