Efficacy of Sacral Nerve Stimulation for Controlling Urinary Incontinence in Children with Spina Bifida

Citation:
Kamal, H. M., and M. M.Khalaf, "Efficacy of Sacral Nerve Stimulation for Controlling Urinary Incontinence in Children with Spina Bifida ", Bull. Fac. Ph. Th. Cairo Univ, vol. 15, issue 2, pp. 133-138, 2010.

Abstract:

Background: Urinary incontinence is defined as involuntary loss of urine. It is a common problem affecting children and interferes with style of life. Urinary incontinence is one of the complications of spina bifida. Purpose: This study was conducted to examine the efficacy of sacral nerve stimulation on controlling urinary incontinence in children with spina bifida. Intervention: Twenty spina bifida children with urinary incontinence were enrolled in this study, aged between 4 and 8 years. They were divided randomly into two groups. Group (A) which is the control group received medical care and standard urotherapy only. And Group (B) which is the study group received medical care and standard urotherapy in addition to sacral nerve stimulation. The children received 36 sessions over 12 successive weeks. 24-hour pad test was used to obtain the outcome measures for the groups. Results: The results showed a significant decrease in urinary loss before and after treatment for each group, also showed no significant difference between control and study groups after the treatment. Conclusion: It can be concluded that sacral nerve stimulation conducted through transcutaneous electrical nerve roots stimulation with the parameters used in this study has no role in controlling urinary incontinence in children with spina bifida. Key words: Urinary incontinence, Sacral nerve Stimulation, Spina bifida, TENS.