Posterior tibial nerve stimulation versus desmopressin in treating children with primary mono-symptomatic nocturnal enuresis. A randomized clinical trial

被引:1
|
作者
Abdelghany, Mohamed [1 ]
Amar, Mahmoud S. [1 ]
Shoukry, Ahmed, I [1 ]
Morsi, Hany [1 ]
Mohamed, Hesham, I [1 ]
机构
[1] Cairo Univ Hosp, Urol Dept, Cairo, Egypt
关键词
Nocturnal enuresis; PTNS; desmopressin; THERAPY; DYSFUNCTION;
D O I
10.1080/20905998.2024.2373404
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Objective: Assessment of the efficacy of Posterior Tibial Nerve Stimulation (PTNS) versus Desmopressin in treating Primary Mono-symptomatic Nocturnal Enuresis (PMNE). Patients and methods: This randomized clinical trial was conducted at the Urology department of Abo Elreesh pediatric hospital, Cairo University on 80 children, aged between 5 and 13 years old, diagnosed to have PMNE between June 2020 and November 2020. Children were divided into two equal groups; those who underwent PTNS (as one session per week for 12 weeks) (Group A) and those who received Desmopressin 0.2 mg. single evening dose for 12 weeks (Group B). Both groups were constructed to adhere to behavioral therapy and were statistically evaluated regarding the frequency of nocturnal enuresis (NE) before, after treatment, and after 1 month of follow-up. Results: Both groups showed statistically significant improvement in the frequency of NE before and after treatment (p < 0.001), but there were no statistically significant differences between them (p = 0.763). There was a statistically significant relapse of NE frequency after 1 month of follow-up after completion of treatment in both groups (p < 0.001), with no statistically significant differences between the two groups (p = 0.075). Conclusion: Posterior tibial nerve stimulation and Desmopressin are viable treatment options for children with primary mono-symptomatic nocturnal enuresis. However, relapse in some responders with time suggests the need for maintenance therapy.
引用
收藏
页码:268 / 273
页数:6
相关论文
共 48 条
  • [21] A PROSPECTIVE RANDOMIZED CONTROLLED TRIAL OF TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION (TENS) FOR THE TREATMENT OF NOCTURNAL ENURESIS IN CHILDREN: PRELIMINARY RESULTS
    Vasudevan, Vinaya
    Howe, Adam
    Sultan, Jessica
    Kwan, Jovita
    Morganstern, Bradley A.
    Gitlin, Jordan
    Fine, Ronnie
    Palmer, Lane S.
    JOURNAL OF UROLOGY, 2018, 199 (04): : E760 - E761
  • [22] Comparison of the Efficacy of Tolterodine versus Oxybutynin in the Treatment of Children with Desmopressin-Resistant Enuresis: A Randomized Controlled Clinical Trial
    Ezodin, Neda
    Sarouei, Mahboubehjafari
    Khademlo, Mohamad
    Milani, Sevda Hashemi
    Yousefi, Sahar
    Mohammadjafari, Hamid
    ETHIOPIAN JOURNAL OF HEALTH SCIENCES, 2023, 33 (04) : 611 - 620
  • [23] Randomized clinical trial of sacral versus percutaneous tibial nerve stimulation in patients with faecal incontinence
    Thin, N. N.
    Taylor, S. J. C.
    Bremner, S. A.
    Emmanuel, A. V.
    Hounsome, N.
    Williams, N. S.
    Knowles, C. H.
    BRITISH JOURNAL OF SURGERY, 2015, 102 (04) : 349 - 358
  • [24] Transcutaneous Tibial Nerve Stimulation for Pain Management in Women with Primary Dysmenorrhea: A Randomized Clinical Trial
    Correyero-Leon, Marta
    Calvo-Rodrigo, Javier
    Alvarado-Omenat, Jorge Juan
    Llamas-Ramos, Rocio
    Martinez-Terol, Ma Consuelo
    Llamas-Ramos, Ines
    BIOMEDICINES, 2024, 12 (09)
  • [25] Randomized clinical trial of percutaneous tibial nerve stimulation versus sham electrical stimulation in patients with faecal incontinence
    van der Wilt, A. A.
    Giuliani, G.
    Kubis, C.
    van Wunnik, B. P. W.
    Ferreira, I.
    Breukink, S. O.
    Lehur, P. A.
    La Torre, F.
    Baeten, C. G. M. I.
    BRITISH JOURNAL OF SURGERY, 2017, 104 (09) : 1167 - 1176
  • [26] Randomized clinical trial of transcutaneous electrical posterior tibial nerve stimulation versus lateral internal sphincterotomy for treatment of chronic anal fissure
    Youssef, Tamer
    Youssef, Mohamed
    Thabet, Waleed
    Lotfy, Ahmed
    Shaat, Reham
    Abd-Elrazek, Eman
    Farid, Mohamed
    INTERNATIONAL JOURNAL OF SURGERY, 2015, 22 : 143 - 148
  • [27] Efficacy of Percutaneous vs Transcutaneous Posterior Tibial Nerve Stimulation in Overactive Bladder Syndrome: A Randomized Clinical Trial
    Ahadi, Tannaz
    Noori, Ismaeel
    Soltani, Shayesteh Khalifeh
    Ghaboosi, Pouya
    Raissi, Gholam Reza
    BASIC AND CLINICAL NEUROSCIENCE, 2024, 15 (04) : 499 - 508
  • [28] Transcutaneous Parasacral Electrical Neural Stimulation in Children with Primary Monosymptomatic Enuresis: A Prospective Randomized Clinical Trial
    de Oliveira, Liliana Fajardo
    de Oliveira, Dayana Maria
    da Silva de Paula, Lidyanne Ilidia
    de Figueiredo, Andre Avarese
    de Bessa, Jose, Jr.
    de Sa, Cacilda Andrade
    Bastos Netto, Jose Murillo
    JOURNAL OF UROLOGY, 2013, 190 (04): : 1359 - 1363
  • [29] Transcutaneous Posterior Tibial Nerve Stimulation to Treat Primary Dysmenorrhea in Adolescents. Prospective, Randomized, Placebo, Controlled Trial
    Manriquez, V
    Naser, M.
    Castro, D.
    Castro, A.
    Troncoso, P.
    INTERNATIONAL UROGYNECOLOGY JOURNAL, 2022, 33 (SUPPL 2) : S401 - S401
  • [30] Parasacral transcutaneous electrical neural stimulation versus urotherapy in primary monosymptomatic enuresis: A prospective randomized clinical trial
    Oliveira, Liliana Fajardo
    da Silva, Lidyanne Ilidia
    Franck, Hanny Helena Masson
    Guimaraes, Kayleigh Goncalves
    Cardoso, Jessika Stephani Silva
    Ribeiro, Andre Costa Pinto
    Figueiredo, Andre A.
    Silva, Solano Aguirre de Alexandre Santos e
    de Bessa Jr, Jose
    Netto, Jose Murillo B.
    NEUROUROLOGY AND URODYNAMICS, 2023, 42 (06) : 1390 - 1396