Efficacy of Vibroacoustic Stimulation Treatment of Enuresis in Children
Journal of Pediatric Nephrology,
Vol. 8 No. 1 (2020),
19 May 2020
,
Page 1-5
https://doi.org/10.22037/jpn.v8i1.27542
Abstract
Background and Aim: Functional voiding disorders (FVDs) are common problems in children. The effect of vibroacoustic therapy has not been examined in children with FVDs. The aim of this study was to investigate the efficacy of vibroacoustic therapy for treatment of FVDs in children.
Methods: Seventy-eight children were included in this prospective study. Dysfunctional voiding score (DVS) and nocturnal enuresis (NE) score were measured before and after vibroacoustic treatment. The success of vibroacoustic therapy use was evaluated according to the percentage of decrease in DVS and NE scores relative to the pre-treatment values. Descriptive and analytic statistical methods were applied for data analysis using SPSS software version 22.0.
Results: The mean age of the participants was 8.65±3.11 years, and half of them were boys. Of 78 patients, 60 were school-aged and 18 were preschool-aged children. A significant difference was noticed between DVS score (p < 0.01) and NE score (p < 0.01) before and after vibroacoustic therapy in school-aged children. No significant correlation was observed between the success of vibroacoustic therapy and factors such as enuresis type (primary/secondary), applied form of pharmacologic therapy, baseline DVS and NE score, and the presence of a positive family history and expressed through percentage of decrease in DVS and NE scores in school-aged children.
Conclusion: The results of the present study showed the positive effect of the vibroacoustic therapy in school-aged children with functional voiding disorders. It is, however, necessary to conduct further prospective studies in order to confirm its effectiveness and determine its long-term results.
Keywords: Child; Enuresis; Urinary bladder.
- Enuresis
- Urinary bladder
- Child
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References
Hellström AL, Hanson E, Hansson S, Hjälmås K, Jodal U. Micturition habits and incontinence in 7-year-old Swedish school entrants. Eur J Pediatr.1990;149:434-7.
Vaz GT, Vasconcelos MM, Oliveira EA, Ferreira AL, Magalhães PG, Silva FM, Lima EM. Prevalence of lower urinary tract symptoms in school-age children. Pediatr Nephrol.2012;27:597-603.
Ballek NK, McKenna PH. Lower urinary tract dysfunction in childhood. Urol Clin North Am.2010;37:215-28.
Hinman F. Urinary tract damage in children who wet. Pediat¬rics.1974;54:143-50.
Peco-Antic A, Paripovic D, Milosevski-Lomic G, Trojanovic S, Ivanisevic I. Bladder control training in girls with lower urinary tract dysfunction. Int Braz J Urol.2013;39(1):118-26.
Kostić M, Peco-Antić A, Panić L, Jovanović N, Pejcić I, Kruscić D, Jovanović O, Petrović I, Popović-Rolović M. Urinary bladder dysfunction and vesicoureteral reflux in patients with enuresis. Srp Arh Celok Lek.1996;124:88-9.
Kostic M, Stankovic A, Zivkovic M, et al. ACE and AT1 Receptor Gene Polymorphisms and Renal Scarring in Urinary Bladder Dysfunction. Pediatr Nephrol.2004;19:853-7.
Peco-Antić A, Paripović D, Buljugić S, Kruščić D, Spasojević B, Cvetković M, Kostić M, Laban-Nestorović S, Miloševski-Lomić G.. Antibiotic resistance of uropathogens in newborns and young children with acute pyelonephritis. Srp Arh Celok Lek.2012;140(3-4):179-83.
Norgaard JP, van Gool JD, Hjalmas K, Djurhuus JC, Hellstrom AL. Standardization and definitions in lower urinary tract dysfunction in children. Br J Urol.1998;81:1-16.
De Gennaro M, Murphy FR. Botulinum toxin in pediatric urology: a systematic literature review. Pediatric Surg Int.2009;25:19-23.
De Gennaro M, Capitanucci ML, Mastracci P, Silveri M, Gatti C, Mosiello G. Percutaneous tibial nerve neuromodulation is well tolerated in children and effective for treating refractory vesical dysfunction. J Urol.2004;171:1911-3.
Hoebeke P, Renson C, Petillon L, Vande Walle J, De Paepe H. Percuteneous electric nerve stimulation in children with therapy resistant neuropathic bladder sphincter dysfunction: a pilot study. J Urol.2002;168;2605-7.
Borisovich PS, Semenovich LN, Ivanovich KA, Nikolaevich LS. Research of the efficiency of vibroacustic treatment method for the complex therapy in patients with prostate gland hyperplasia. Proceedings of the Fourth International Conference “Vibroacustics in Medicine” Sankt-Peterburg.2006;71-6.
FSU RusNIITO alias R.R.Vredena. Vibroacustic treatment with «Vitafon» for wrist fractures. Proceedings of the Fourth International Conference “Vibroacustics in Medicine” Sankt-Peterburg.2006;77-9.
Zelenovic S. Clinical experiances in the Micro Vibratory Stimulation. Proceedings of the Fourth International Conference “Vibroacustics in Medicine” Sankt-Peterburg.2006;107-13.
Kramer SA, Rathbun SR, Elkins D, Karnes RJ, Husmann DA. Double-blind placebo controlled study of α-adrenergic receptor antagonists (doxazosin) for treatment of voiding dysfunction in the pediatric population. J Urol;173:2121-4.
Tolunay O, Buyan N, Tan MÖ, Söylemezoglu HO, Fidan HK, Bakkaloglu Ezgü SA. Urodynamic disorders and renal scarring in pediatric patients with nonmonosymptomatic nocturnal enuresis. Turk J Med Sci.2015;45(2):320-4.
Phung P, Kelsberg G, Safranek S2. Clinical Inquiry: Does primary nocturnal enuresis affect childrens' self-esteem? J Fam Pract.2015;64(4):250-9.
Jain S, Bhatt GC. Advances in the management of primary monosymptomatic nocturnal enuresis in children. Paediatr Int Child Health.2016;36(1):7-14.
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