Association between rectal diameter and response to treatment with parasacral transcutaneous electrical nerve stimulation and behavioral changes in children and adolescents with bladder and bowel dysfunction.

التفاصيل البيبلوغرافية
العنوان:	Association between rectal diameter and response to treatment with parasacral transcutaneous electrical nerve stimulation and behavioral changes in children and adolescents with bladder and bowel dysfunction.
المؤلفون:	Nunes NC; Centro de Distúrbios Urinários na Infância (CEDIMI), Escola Bahiana de Medicina e Saúde Pública, Salvador, BA, Brasil., de Abreu GE; Centro de Distúrbios Urinários na Infância (CEDIMI), Escola Bahiana de Medicina e Saúde Pública, Salvador, BA, Brasil., Dourado ER; Centro de Distúrbios Urinários na Infância (CEDIMI), Escola Bahiana de Medicina e Saúde Pública, Salvador, BA, Brasil., Veiga ML; Centro de Distúrbios Urinários na Infância (CEDIMI), Escola Bahiana de Medicina e Saúde Pública, Salvador, BA, Brasil., Nacif A; Centro de Distúrbios Urinários na Infância (CEDIMI), Escola Bahiana de Medicina e Saúde Pública, Salvador, BA, Brasil., Calasans MTA; Centro de Distúrbios Urinários na Infância (CEDIMI), Escola Bahiana de Medicina e Saúde Pública, Salvador, BA, Brasil., Braga AANM; Centro de Distúrbios Urinários na Infância (CEDIMI), Escola Bahiana de Medicina e Saúde Pública, Salvador, BA, Brasil., Barroso U Jr; Centro de Distúrbios Urinários na Infância (CEDIMI), Escola Bahiana de Medicina e Saúde Pública, Salvador, BA, Brasil.
المصدر:	International braz j urol : official journal of the Brazilian Society of Urology [Int Braz J Urol] 2023 Nov-Dec; Vol. 49 (6), pp. 688-699.
نوع المنشور:	Journal Article
اللغة:	English
بيانات الدورية:	Publisher: Brazilian Society of Urology Country of Publication: Brazil NLM ID: 101158091 Publication Model: Print Cited Medium: Internet ISSN: 1677-6119 (Electronic) Linking ISSN: 16775538 NLM ISO Abbreviation: Int Braz J Urol Subsets: MEDLINE
أسماء مطبوعة:	Original Publication: Rio de Janerio, RJ, Brazil : Brazilian Society of Urology, [2002]-
مواضيع طبية MeSH:	Transcutaneous Electric Nerve Stimulation/methods , Urinary Bladder Diseases, Humans ; Child ; Male ; Adolescent ; Child, Preschool ; Female ; Urinary Bladder/diagnostic imaging ; Constipation/therapy ; Constipation/diagnosis ; Treatment Outcome
مستخلص:	Purpose: Parasacral Transcutaneous Electrical Stimulation (TENS) is one of the treatments for children with Bladder and Bowel Dysfunction (BBD). Some studies showed that children with increased Rectal Diameter (RD) have more Functional Constipation (FC). However, RD prediction in maintenance of BBD after treatment was never evaluated. Our aim is to evaluate the association between RD and response to treatment in children and adolescents with BBD. Materials and Methods: This study evaluated patients from 5-17 years old with BBD. Dysfunctional Voiding Scoring System (DVSS), Rome IV criteria, and the Constipation Score were used. RD was measured using abdominal ultrasound before treatment according to the technique established by Klijn et al. and was considered enlarged when >3cm. No laxatives were used during treatment. Descriptive analysis and binary regression were performed and the area under the ROC curve was calculated. Results: Forty children were included (mean age 8.4±2.8 years, 52.5% male). Before treatment, RD was enlarged in 15 children (37.5%) (mean diameter 3.84±0.6cm), with FC persisting post-treatment in 11/15(73.3%). Those patients also required more laxatives following treatment and had more severe FC. Binary regression showed pretreatment RD to be an independent predictor of the persistence of FC post-treatment (OR=9.56; 95%CI:2.05-44.60). In ROC curve analysis, the sensitivity was 100% (95%CI: 0.49-1.0) and specificity 77.14% (95%CI:0.60-0.90) for rectal diameter >3 cm. The likelihood ratio was 4.38 (95%CI:2.40-8.0) for the persistence of BBD following treatment. Conclusion: RD appears to be relevant in the evaluation of children with BBD, not only as a diagnostic tool but also as a predictor of treatment outcome. Competing Interests: None declared. (Copyright® by the International Brazilian Journal of Urology.)
التعليقات:	Comment in: Int Braz J Urol. 2023 Nov-Dec;49(6):662-664. (PMID: 37903002)
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فهرسة مساهمة:	Keywords: Lower Urinary Tract Symptoms; Pediatrics; Ultrasonography
تواريخ الأحداث:	Date Created: 20231030 Date Completed: 20231101 Latest Revision: 20240320
رمز التحديث:	20240320
مُعرف محوري في PubMed:	PMC10947615
DOI:	10.1590/S1677-5538.IBJU.2023.0201
PMID:	37903006
قاعدة البيانات:	MEDLINE

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تدمد:	1677-6119
DOI:	10.1590/S1677-5538.IBJU.2023.0201