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Effects of intravesical electrical stimulation therapy on urodynamic patterns for children with spina bifida: A 10-year experience

Authors
 Eun Kyoung Choi  ;  Chang Hee Hong  ;  Myung Joo Kim  ;  Young Jae Im  ;  Hyun Jin Jung  ;  Sang Won Han 
Citation
 JOURNAL OF PEDIATRIC UROLOGY, Vol.9(6 Pt A) : 798-803, 2013 
Journal Title
JOURNAL OF PEDIATRIC UROLOGY
ISSN
 1477-5131 
Issue Date
2013
MeSH
Child ; Child, Preschool ; Electric Stimulation Therapy/methods* ; Female ; Humans ; Infant ; Male ; Retrospective Studies ; Spinal Dysraphism/complications* ; Treatment Outcome ; Urinary Bladder/physiology* ; Urinary Bladder, Neurogenic/etiology* ; Urinary Bladder, Neurogenic/physiopathology ; Urinary Bladder, Neurogenic/therapy* ; Urinary Bladder, Overactive/etiology ; Urinary Bladder, Overactive/physiopathology ; Urinary Bladder, Overactive/therapy ; Urodynamics/physiology*
Keywords
CIC ; DSD ; Electrical stimulation therapy ; ICCS ; IVES ; International Children's Continence Society ; SCI ; Spinal dysraphism ; UDS ; clean intermittent catheterization ; detrusor-sphincter dyssynergia ; intravesical electrical stimulation ; spinal cord injury ; urodynamic study
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.
Full Text
http://www.sciencedirect.com/science/article/pii/S1477513112002574
DOI
10.1016/j.jpurol.2012.10.019
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
Yonsei Authors
Im, Young Jae(임영재)
Jung, Hyun Jin(정현진)
Choi, Eun Kyoung(최은경) ORCID logo https://orcid.org/0000-0003-4622-2437
Han, Sang Won(한상원) ORCID logo https://orcid.org/0000-0003-0941-1300
Hong, Chang Hee(홍창희) ORCID logo https://orcid.org/0000-0002-0946-7702
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/89181
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