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Posterior Tibial Nerve Stimulation in Children with Lower Urinary Tract Dysfunction: A Mixed-Methods Analysis of Experiences, Quality of Life and Treatment Effect

Background: Posterior tibial nerve stimulation (PTNS) is one of the treatment modalities for children with therapy-refractory lower urinary tract dysfunction (LUTD). This study used a mixed-methods analysis to gain insight into the experiences of children treated with PTNS and their parents, the eff...

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Autores principales: De Wall, Liesbeth L., Bekker, Anna P., Oomen, Loes, Janssen, Vera A. C. T., Kortmann, Barbara B. M., Heesakkers, John P. F. A., Oerlemans, Anke J. M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9331059/
https://www.ncbi.nlm.nih.gov/pubmed/35897438
http://dx.doi.org/10.3390/ijerph19159062
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author De Wall, Liesbeth L.
Bekker, Anna P.
Oomen, Loes
Janssen, Vera A. C. T.
Kortmann, Barbara B. M.
Heesakkers, John P. F. A.
Oerlemans, Anke J. M.
author_facet De Wall, Liesbeth L.
Bekker, Anna P.
Oomen, Loes
Janssen, Vera A. C. T.
Kortmann, Barbara B. M.
Heesakkers, John P. F. A.
Oerlemans, Anke J. M.
author_sort De Wall, Liesbeth L.
collection PubMed
description Background: Posterior tibial nerve stimulation (PTNS) is one of the treatment modalities for children with therapy-refractory lower urinary tract dysfunction (LUTD). This study used a mixed-methods analysis to gain insight into the experiences of children treated with PTNS and their parents, the effect of treatment on quality of life (QOL) and the effect of PTNS on urinary symptoms. Methods: Quantitative outcomes were assessed through a single-centre retrospective chart analysis of all children treated with PTNS in a group setting between 2016–2021. Voiding parameters and QOL scores before and after treatment were compared. Qualitative outcomes were assessed by an explorative study involving semi-structured interviews transcribed verbatim and inductively analysed using the constant-comparative method. Results: The data of 101 children treated with PTNS were analysed. Overall improvement of LUTD was seen in 42% and complete resolution in 10%. Average and maximum voided volumes significantly increased. QOL improved in both parents and children independent of the actual effect on urinary symptoms. Interviews revealed PTNS to be well-tolerated. Facilitating PTNS in a group setting led to feelings of recognition in both children and parents. Conclusions: PTNS is a good treatment in children with therapy-refractory LUTD and provides valuable opportunities for peer support if given in a group setting.
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spelling pubmed-93310592022-07-29 Posterior Tibial Nerve Stimulation in Children with Lower Urinary Tract Dysfunction: A Mixed-Methods Analysis of Experiences, Quality of Life and Treatment Effect De Wall, Liesbeth L. Bekker, Anna P. Oomen, Loes Janssen, Vera A. C. T. Kortmann, Barbara B. M. Heesakkers, John P. F. A. Oerlemans, Anke J. M. Int J Environ Res Public Health Article Background: Posterior tibial nerve stimulation (PTNS) is one of the treatment modalities for children with therapy-refractory lower urinary tract dysfunction (LUTD). This study used a mixed-methods analysis to gain insight into the experiences of children treated with PTNS and their parents, the effect of treatment on quality of life (QOL) and the effect of PTNS on urinary symptoms. Methods: Quantitative outcomes were assessed through a single-centre retrospective chart analysis of all children treated with PTNS in a group setting between 2016–2021. Voiding parameters and QOL scores before and after treatment were compared. Qualitative outcomes were assessed by an explorative study involving semi-structured interviews transcribed verbatim and inductively analysed using the constant-comparative method. Results: The data of 101 children treated with PTNS were analysed. Overall improvement of LUTD was seen in 42% and complete resolution in 10%. Average and maximum voided volumes significantly increased. QOL improved in both parents and children independent of the actual effect on urinary symptoms. Interviews revealed PTNS to be well-tolerated. Facilitating PTNS in a group setting led to feelings of recognition in both children and parents. Conclusions: PTNS is a good treatment in children with therapy-refractory LUTD and provides valuable opportunities for peer support if given in a group setting. MDPI 2022-07-25 /pmc/articles/PMC9331059/ /pubmed/35897438 http://dx.doi.org/10.3390/ijerph19159062 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
De Wall, Liesbeth L.
Bekker, Anna P.
Oomen, Loes
Janssen, Vera A. C. T.
Kortmann, Barbara B. M.
Heesakkers, John P. F. A.
Oerlemans, Anke J. M.
Posterior Tibial Nerve Stimulation in Children with Lower Urinary Tract Dysfunction: A Mixed-Methods Analysis of Experiences, Quality of Life and Treatment Effect
title Posterior Tibial Nerve Stimulation in Children with Lower Urinary Tract Dysfunction: A Mixed-Methods Analysis of Experiences, Quality of Life and Treatment Effect
title_full Posterior Tibial Nerve Stimulation in Children with Lower Urinary Tract Dysfunction: A Mixed-Methods Analysis of Experiences, Quality of Life and Treatment Effect
title_fullStr Posterior Tibial Nerve Stimulation in Children with Lower Urinary Tract Dysfunction: A Mixed-Methods Analysis of Experiences, Quality of Life and Treatment Effect
title_full_unstemmed Posterior Tibial Nerve Stimulation in Children with Lower Urinary Tract Dysfunction: A Mixed-Methods Analysis of Experiences, Quality of Life and Treatment Effect
title_short Posterior Tibial Nerve Stimulation in Children with Lower Urinary Tract Dysfunction: A Mixed-Methods Analysis of Experiences, Quality of Life and Treatment Effect
title_sort posterior tibial nerve stimulation in children with lower urinary tract dysfunction: a mixed-methods analysis of experiences, quality of life and treatment effect
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9331059/
https://www.ncbi.nlm.nih.gov/pubmed/35897438
http://dx.doi.org/10.3390/ijerph19159062
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