To describe and evaluate efficacy of a more practical, at-home regimen of parasacral transcutaneous electrical nerve stimulation (TENS) for pediatric overactive bladder (OAB).
We prospectively enrolled patients with OAB.
age 5-13 years and willingness to try TENS.
urinary tract anatomic abnormalities, current use of OAB medications, neurologic condition, and elevated post-void residual. Patients were instructed to complete 20-minute sessions 2x/day for one month.
We enrolled 21 patients (3 male, 18 female; median age 9.9 years). We had complete VSS data on 17 patients and frequency-volume chart data on 12 patients. Median % of TENS sessions completed was 98%.
In our cohort of medically-refractory OAB pediatric patients, nearly half reported subjective improvement with our regimen, despite modest objective improvement. Our compliance rates suggest this regimen is practical but may be best used as an adjunct to other therapies.
Urology. 2022 Jan 20 [Epub ahead of print]
Kristin M Ebert, Heather Terry, Christina B Ching, Daniel G Dajusta, Molly E Fuchs, Venkata R Jayanthi, Daryl J McLeod, Seth A Alpert
Nationwide Children's Hospital, Division of Urology, 700 Children's Drive, Columbus, OH 43205, 614-722-3114. Electronic address: ., Nationwide Children's Hospital, Division of Urology, 700 Children's Drive, Columbus, OH 43205, 614-722-3114.