지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2013.1
- 수록면
- 139 - 144 (6page)
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초록· 키워드
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Purpose: In pediatric patients with enuresis, the protocol for salvage therapy in patients in whom first-line therapy was not successful has not yet been established. Interferential electrical stimulation (IF-ES) therapy is advantageous because it is noninvasive and shows high compliance. We aimed to investigate the efficacy and safety of IF-ES therapy on pediatric enuresis in a pilot study.
Methods: We investigated 10 patients who underwent IF-ES therapy between August 2012 and March 2013 at our clinic. Patients with a history of previous treatment with desmopressin and anticholinergic agents for at least 3 months and those in whom alarm treatment previously failed or was refused by parents were eligible. Electrical current was given starting at approximately 20 mA and was increased until the patient complained of discomfort. Treatment was performed once a week, 20 minutes per treatment, 6 times per cycle. After each cycle, an interview was performed and voiding diaries were filled. The physician in charge evaluated improvement according to the International Children’s Continence Society criteria.
Results: A final analysis was performed in 10 patients (5 male and 5 female patients) in whom therapy for nocturnal enuresis had failed. Eight patients had nonmonosymptomatic enuresis and 2 had monosymptomatic enuresis. The mean age of the patients was 8.5±2.4 years, and the mean number of treatments was 10.6±3.6 times. A full response was observed in 1 patient (10%); a good response, in 1 patient (10%); a partial response, in 7 patients (70%); and no response, in 1 patient (10%).
Conclusions: Our study demonstrated that IF-ES therapy can be a promising treatment for the future, is safe, and can benefit from appropriate clinical trials in carefully selected groups. IF-ES therapy is expected to be a safe and effective treatment modality for children with enuresis.
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참고문헌 (22)
참고문헌 신청
Barroso U Jr / 2011 / Electrical stimulation for lower urinary tract dysfunction in children: a systematic review of the literature / Neurourol Urodyn 30 : 1429 ~ 1436
Chase J / 2005 / Pilot study using transcutaneous electrical stimulation (interferential current) to treat chronic treatment-resistant constipation and soiling in children /
Dasgupta R / 2005 / Changes in brain activity following sacral neuromodulation for urinary retention / J Urol 174 : 2268 ~ 2272
Elmissiry M / 2013 / Refractory enuresis in children and adolescents: how can urodynamics affect management and what is the optimum test? / J Pediatr Urol 9 : 348 ~ 352
Emmerson C / 1987 / A preliminary study of the effect of interferential therapy on detrusor instability in patients with multiple sclerosis / Aust J Physiother 33 : 64 ~ 65
Chase J / 2005 / Pilot study using transcutaneous electrical stimulation (interferential current) to treat chronic treatment-resistant constipation and soiling in children /
Dasgupta R / 2005 / Changes in brain activity following sacral neuromodulation for urinary retention / J Urol 174 : 2268 ~ 2272
Elmissiry M / 2013 / Refractory enuresis in children and adolescents: how can urodynamics affect management and what is the optimum test? / J Pediatr Urol 9 : 348 ~ 352
Emmerson C / 1987 / A preliminary study of the effect of interferential therapy on detrusor instability in patients with multiple sclerosis / Aust J Physiother 33 : 64 ~ 65
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