دورية أكاديمية
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
| 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 |
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| المؤلفون: | Noel Charlles Nunes, Glicia Estevam de Abreu, Eneida Regis Dourado, Maria Luiza Veiga, Ananda Nacif, Maria Thaís de Andrade Calasans, Ana Aparecida Nascimento Martinelli Braga, Ubirajara Barroso Jr. |
| المصدر: | International Brazilian Journal of Urology, Vol 49, Iss 6, Pp 688-699 (2024) |
| بيانات النشر: | Sociedade Brasileira de Urologia, 2024. |
| سنة النشر: | 2024 |
| المجموعة: | LCC:Diseases of the genitourinary system. Urology |
| مصطلحات موضوعية: | Lower Urinary Tract Symptoms, Pediatrics, Ultrasonography, Diseases of the genitourinary system. Urology, RC870-923 |
| الوصف: | ABSTRACT 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. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 1677-6119 1677-5538 |
| Relation: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382023000600688&lng=en&tlng=en; http://www.scielo.br/pdf/ibju/v49n6/1677-6119-ibju-49-06-0688.pdf; https://doaj.org/toc/1677-6119 |
| DOI: | 10.1590/s1677-5538.ibju.2023.0201 |
| URL الوصول: | https://doaj.org/article/25ab8f81da804345bca1ef8dd6179706 |
| رقم الأكسشن: | edsdoj.25ab8f81da804345bca1ef8dd6179706 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 16776119 16775538 |
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| DOI: | 10.1590/s1677-5538.ibju.2023.0201 |