Electroneurostimulation for the management of bladder bowel dysfunction in childhood

详细信息    查看全文

• 作者：Anne J. Wright^a ; ^{Anne.Wright@gstt.nhs.uk} ; Mirna Haddad^b ; ^{Mirna.haddad@ap-hm.fr}
• 关键词：Bladder bowel dysfunction ; Lower urinary tract dysfunction ; Neuropathic bladder ; Constipation ; Electroneurostimulation ; Transcutaneous electrical nerve stimulation ; Sacral neuromodulation
• 刊名：European Journal of Paediatric Neurology
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：21
• 期：1
• 页码：67-74
• 全文大小：678 K
• 卷排序：21

文摘

Both non-invasive and invasive electroneurostimulation (ENS) modalities for bladder bowel dysfunction have been studied and reported in children. A summary of the proposed mechanism of actions and the more commonly used and recently reported techniques and outcomes are described. This includes transcutaneous electrical nerve stimulation, functional electrical nerve stimulation, intravesical electrical nerve stimulation, percutaneous tibial nerve stimulation and sacral neuromodulation in conditions including overactive bladder, enuresis, dysfunctional voiding, constipation, combined bladder bowel dysfunction and neuropathic bladder and bowel dysfunction. There is a need for further high quality randomised trials as well as long-term outcomes to establish whether ENS is able to alter the long-term trajectory for an individual child with bladder bowel dysfunction.