A Brazilian study demonstrated the effectiveness of a treatment for childhood vesicointestinal dysfunction. The condition consists of urinary incontinence associated with constipation, with frequent cases of urinary infection. It is estimated that the disease affects 7.5% of children between 5 and 14 years, according to the Bahia School of Medicine and Public Health, responsible for the research.
Symptoms are noticed after the outburst and include urgency and increased frequency to urinate, in addition to low frequency of defecation (three or less times a week).
The treatment is performed with parasacral electroneurostimulation (Tens), that is, the application of electrodes on the skin, in a non-invasive way, in the child’s lower back, just above the buttocks. It is the same procedure already used to treat only urinary incontinence, but it has also proved to be effective in treating constipation associated with it.
The study, which is the result of the doctoral thesis of coloproctologist Glícia Abreu, was recently published in the North American journal Journal of Urology. The research advisor was Ubirajara Barroso Jr., who has been working for 20 years with the use and improvement of Tens in the treatment of urinary incontinence in children.
“The bowel and bladder are born together embryologically. During fetal life, they separate but keep the same innervation, so there is a certain cross communication between them. In people who have constipation, the bladder can have its sensitivity altered and vice versa”, explains Barroso Jr.
Tens has been shown to be effective in treating 70% of cases of vesicointestinal dysfunction in children and adolescents. “The advantage is that it is a unique method for both [incontinência urinária e constipação], which makes it easier and cheaper. Also, the other method to treat incontinence would be anticholinergic medication, which makes constipation worse, so it would not be a suitable method to treat incontinence because it would make the other end of the problem worse. [prisão de ventre]. Our method is a method without significant adverse effects”.
According to Barroso Jr., treatment by Tens is offered by the Unified Health System (SUS).
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