دورية أكاديمية
The effectiveness of parasacral transcutaneous electrical nerve stimulation in the treatment of monosymptomatic enuresis in children and adolescents: a systematic review.
العنوان: | The effectiveness of parasacral transcutaneous electrical nerve stimulation in the treatment of monosymptomatic enuresis in children and adolescents: a systematic review. |
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المؤلفون: | Dutra MF; Departamento de Pediatria, Unidade de Nefrologia Pediátrica, Faculdade de Medicina, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brasil., de Bessa J Júnior; Departamento de Urologia, Universidade Estadual de Feira de Santana (UFSC), Feira de Santana, BA, Brasil., de Almeida ECL; Departamento de Pediatria, Unidade de Nefrologia Pediátrica, Faculdade de Medicina, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brasil., Lima EM; Departamento de Pediatria, Unidade de Nefrologia Pediátrica, Faculdade de Medicina, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brasil., Vasconcelos MMA; Departamento de Pediatria, Unidade de Nefrologia Pediátrica, Faculdade de Medicina, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brasil., Mrad FCC; Departamento de Pediatria, Unidade de Nefrologia Pediátrica, Faculdade de Medicina, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brasil. |
المصدر: | International braz j urol : official journal of the Brazilian Society of Urology [Int Braz J Urol] 2024 Mar-Apr; Vol. 50 (2), pp. 136-151. |
نوع المنشور: | Systematic Review; Journal Article; Review |
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 |
أسماء مطبوعة: | Original Publication: Rio de Janerio, RJ, Brazil : Brazilian Society of Urology, [2002]- |
مواضيع طبية MeSH: | Transcutaneous Electric Nerve Stimulation*/methods , Randomized Controlled Trials as Topic*, Humans ; Child ; Adolescent ; Treatment Outcome ; Female ; Male ; Nocturnal Enuresis/therapy ; Reproducibility of Results |
مستخلص: | Background: Parasacral Transcutaneous Electrical Nerve Stimulation (PTENS) is a treatment used in enuresis refractory to first-line treatment. This review aimed to evaluate the effectiveness of PTENS in treating monosymptomatic enuresis (MNE) in children and adolescents. Methods: The study followed the Preferred Reporting Items for Systematic (PRISMA) guidelines. The search was carried out in the following databases: MEDLINE (via PubMed), Web of Science, SCOPUS, Central Cochrane Library and Physiotherapy Evidence Database (PEDro). The selected studies were randomized clinical trials (RCTs). The "Risk of Bias tool for randomized trials" and the "Risk of Bias VISualization" were used to analyze the risk of bias. Results: Of the 624 studies selected, four RCTs were eligible. Three included 146 children and adolescents aged between six and 16.3 years and used similar PTENS protocols with a frequency of 10 Hz, pulse duration of 700 µs and 20 minutes three times/week. One study enrolled 52 patients aged seven to 14 years used PTENS at home, with a pulse duration of 200 µs and 20 to 60 minutes twice/day. Risk of bias was observed in three studies due to results' randomization and measurement. Two studies showed a partial response with a reduction in wet nights, one a complete response in 27% of patients, and one showed no improvement. Conclusion: PTENS reduces wet nights' frequency but does not cure them, except in 27% of patients in one study. Limited RCTs and data heterogeneity are limitations. Competing Interests: None declared. (Copyright® by the International Brazilian Journal of Urology.) |
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فهرسة مساهمة: | Keywords: Nocturnal Enuresis; Systematic Review [Publication Type]; Transcutaneous Electric Nerve Stimulation |
تواريخ الأحداث: | Date Created: 20240222 Date Completed: 20240807 Latest Revision: 20240807 |
رمز التحديث: | 20240808 |
مُعرف محوري في PubMed: | PMC10953601 |
DOI: | 10.1590/S1677-5538.IBJU.2023.0618 |
PMID: | 38386785 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1677-6119 |
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DOI: | 10.1590/S1677-5538.IBJU.2023.0618 |