Table 1.
Study | Country | Study design | Treatment |
Sample size (boys/girls) |
Mean age (yr) ± SD |
Intervention period | Nerve stimulation scheme | Main inclusion criteria | |||
---|---|---|---|---|---|---|---|---|---|---|---|
Experimental | Control | Experimental | Control | Experimental | Control | ||||||
Hagstroem et al. (2009) [21] | Denmark | RCT | TENS | Sham | 13 (7/6) | 12 (3/9) | 8.7 ± 2.0 | 8.5 ± 1.2 | 4 Weeks | 10-Hz frequency with a 200-μsec pulse duration and biphasic waveform; 2 hours daily. | Age 5 to 14 years, daytime urinary incontinence at least 2 days per week, urgency, normal urinalysis, unremarkable urinary tract ultrasound and normal physical examination. Incontinence had to be refractory to a minimum of 12 months of urotherapy. |
Lordêlo et al. (2010) [20] | Brazil | Single-blind, prospective RCT | TENS | Sham | 21 (8/13) | 16 (4/12) | 7.5 ± 3.0 | 7.4 ± 2.8 | 20 Sessions, 3 times weekly | 20 Sessions of TENS, 10-Hz frequency with a generated pulse of 700 μsec; 3 times weekly, with sessions of 20 minutes. | Children older than 4 years with OAB. |
Sillén et al. (2014) [19] | Sweden | RCT | TENS+Standard urotherapy | Standard urotherapy | 30 (19/11) | 32 (16/16) | 8 ± 1.5 | 8 ± 1.9 | 12 Weeks | Twice a day for 20 minutes each time; 10-Hz frequency; maximal level tolerated by the child and reached a maximum of 40 mA. | Children 5–12 years; Micturition frequency≥7; Incontinence episodes ≥ 1 within 7 days; Urgency. |
Patidar et al. (2015) [18] | India | Single-blind, prospective RCT | PTNS | Sham | 21 (N/A) | 16 (N/A) | 7.71 ± 2.22 | 8.38 ± 2.27 | 12 Weeks | Adjustable voltage pulse intensity of 0–10 mA, a fixed pulse width of 200 μsec, and a frequency of 20 Hz; A weekly session of 30 minutes. | Non-neurogenic OAB unresponsive to behavioral therapy and at least 6 months of anticholinergic medication. |
Boudaoud et al. (2015) [17] | France | Doubleblind RCT | PTNS | Sham | 11 (5/6) | 9 (5/4) | 11 ± N/A | 10 ± N/A 12 | Weeks | Below the pain threshold at 10 mA, frequency at 10 Hz, and continuous stimulation of 200 msec during 30 minutes; Two sessions per week. | Children over the age of 6 with primary or secondary nonneurogenic OAB; Absence of anatomical abnormality in the lower urinary tract; Partial response or non-response to anticholinergics after a wellconducted treatment of at least 6 consecutive months. |
De Paula et al. (2017) [16] | Brazil | Doubleblind prospective RCT | PTENS+Urotherapy guidelines | Urotherapy guidelines | 8 (3/5) | 8 (3/5) | 6.5 (6.0–7.7) | 8.5 (5.5–10) | 60 Days | Once a week, lasting for 20 minutes, at a frequency of 10 Hz, pulse width of 700 msec, and variable intensity determined by the tolerance threshold of the child. | Aged 3–18 years of age with a clinical diagnosis of OAB not previously treated for this disease or having gone at least 6 months without any treatment. |
Borch et al. (2017) [15] | Denmark | Doubleblind RCT | TENS | Placebo | 12 (7/5) | 12 (9/3) | 8.8 ± 2.1 | 8.5 ± 1.2 | 48 Hours | A 10-Hz frequency with a 200-sec pulse duration and biphasic waveform; The children were instructed to use the highest tolerable intensity with a maximum of 40 mA. | Age 5–14 years, overactive bladder, daytime urinary incontinence at least 2 days/week and a minimum of 5 micturitions/day. Refractory to a minimum of 12 months of standard urotherapy and 3 months of pharmacotherapy. |
Borch et al. (2017) [14] | Denmark | Doubleblind RCT | TENS+oxybutynin | Oxybutynin | 22 (11/7) | 23 (10/4) | 7.65 ± 1.77 | 7.48 ± 1.57 10 | Weeks | A 10-Hz frequency with a 200-sec pulse duration and biphasic waveform; Children were instructed to use the highest tolerable intensity up to a maximum of 40 mA. | Age 5–14 years; Urge incontinence >2 x/wk; >4 micturitions/day; Ongoing symptoms of OAB; Refractory to >2 months of standard urotherapy; A normal physical examination. |
SD, standard deviation; RCT, randomized controlled trial; TENS, transcutaneous electrical nerve stimulation; PTNS, transcutaneous posterior tibial nerve stimulation; PTENS, parasacral transcutaneous electrical neural stimulation; N/A, not available; OAB, overactive bladder.