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Effects of intravesical electrical stimulation therapy on urodynamic patterns for children with spina bifida: a 10-year experience.
J Pediatr Urol. 2013 Dec; 9(6 Pt A):798-803.JP

Abstract

OBJECTIVE

Intravesical electrical stimulation (IVES) has been performed for various purposes in children with a neurogenic bladder. We evaluated the results of IVES on urodynamic study parameters in children with spina bifida.

METHODS

We retrospectively analyzed the cases of 88 children who received IVES between August 1999 and May 2010 and whose comparative urodynamic data were available before and after treatment. According to the pre-IVES urodynamic study, children were divided into 3 groups: detrusor overactivity, detrusor underactivity and acontractile detrusor. We investigated the changes in detrusor function, bladder capacity and detrusor-sphincter dyssynergia.

RESULTS

In the group showing detrusor overactivity, the bladder had a synergic pattern in 41.7%, and normal detrusor function was observed in 16.7% of them. Bladder capacity increased after IVES therapy, especially in those who started therapy before 18 months of age (p = 0.019). Detrusor-sphincter dyssynergia was resolved in 55.6%. In the acontractile detrusor group, detrusor contraction ability increased in 48%, but bladder capacity did not.

CONCLUSIONS

Appropriate candidates for this treatment need to be carefully selected.

Authors+Show Affiliations

Department of Pediatric Urology, Severance Children's Hospital, Yonsei University Health System, Seoul, Republic of Korea.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

23177928

Citation

Choi, Eun Kyoung, et al. "Effects of Intravesical Electrical Stimulation Therapy On Urodynamic Patterns for Children With Spina Bifida: a 10-year Experience." Journal of Pediatric Urology, vol. 9, no. 6 Pt A, 2013, pp. 798-803.
Choi EK, Hong CH, Kim MJ, et al. Effects of intravesical electrical stimulation therapy on urodynamic patterns for children with spina bifida: a 10-year experience. J Pediatr Urol. 2013;9(6 Pt A):798-803.
Choi, E. K., Hong, C. H., Kim, M. J., Im, Y. J., Jung, H. J., & Han, S. W. (2013). Effects of intravesical electrical stimulation therapy on urodynamic patterns for children with spina bifida: a 10-year experience. Journal of Pediatric Urology, 9(6 Pt A), 798-803. https://doi.org/10.1016/j.jpurol.2012.10.019
Choi EK, et al. Effects of Intravesical Electrical Stimulation Therapy On Urodynamic Patterns for Children With Spina Bifida: a 10-year Experience. J Pediatr Urol. 2013;9(6 Pt A):798-803. PubMed PMID: 23177928.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effects of intravesical electrical stimulation therapy on urodynamic patterns for children with spina bifida: a 10-year experience. AU - Choi,Eun Kyoung, AU - Hong,Chang Hee, AU - Kim,Myung Joo, AU - Im,Young Jae, AU - Jung,Hyun Jin, AU - Han,Sang Won, Y1 - 2012/11/21/ PY - 2012/03/01/received PY - 2012/10/20/accepted PY - 2012/11/27/entrez PY - 2012/11/28/pubmed PY - 2014/7/18/medline KW - CIC KW - DSD KW - Electrical stimulation therapy KW - ICCS KW - IVES KW - International Children's Continence Society KW - SCI KW - Spinal dysraphism KW - UDS KW - clean intermittent catheterization KW - detrusor-sphincter dyssynergia KW - intravesical electrical stimulation KW - spinal cord injury KW - urodynamic study SP - 798 EP - 803 JF - Journal of pediatric urology JO - J Pediatr Urol VL - 9 IS - 6 Pt A N2 - OBJECTIVE: Intravesical electrical stimulation (IVES) has been performed for various purposes in children with a neurogenic bladder. We evaluated the results of IVES on urodynamic study parameters in children with spina bifida. METHODS: We retrospectively analyzed the cases of 88 children who received IVES between August 1999 and May 2010 and whose comparative urodynamic data were available before and after treatment. According to the pre-IVES urodynamic study, children were divided into 3 groups: detrusor overactivity, detrusor underactivity and acontractile detrusor. We investigated the changes in detrusor function, bladder capacity and detrusor-sphincter dyssynergia. RESULTS: In the group showing detrusor overactivity, the bladder had a synergic pattern in 41.7%, and normal detrusor function was observed in 16.7% of them. Bladder capacity increased after IVES therapy, especially in those who started therapy before 18 months of age (p = 0.019). Detrusor-sphincter dyssynergia was resolved in 55.6%. In the acontractile detrusor group, detrusor contraction ability increased in 48%, but bladder capacity did not. CONCLUSIONS: Appropriate candidates for this treatment need to be carefully selected. SN - 1873-4898 UR - https://www.unboundmedicine.com/medline/citation/23177928/Effects_of_intravesical_electrical_stimulation_therapy_on_urodynamic_patterns_for_children_with_spina_bifida:_a_10_year_experience_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1477-5131(12)00257-4 DB - PRIME DP - Unbound Medicine ER -