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. 2020 Mar 31;24(1):84–94. doi: 10.5213/inj.1938232.116

Table 1.

The details of individual study

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.