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19–22 APRIL, 2017, BARCELONA, SPAIN

MATERIAL AND METHODS

From 01/02/2015 through 25/10/2016, all pediatric micturition diaries were evaluated. Following data

were calculated: expected bladder capacity (EBC), average mictionfrequency, morning miction

volume, average miction volume /day, average miction volume compared with % EBC, average fluid

intake, compared with the expected fluid intake, fluid intake before 12, before 16 and after 16 hours,

miction volume night, % miction volume night versus total 24 hours, % mictionvolume night versus

day volume. Bladder sensation was indicated on a scale from 1-5.

RESULTS

127 voiding diaries were evaluated, 24 for diurnal + nocturnal diuresis, 47 for nocturnal diuresis,

30 for diurnal diuresis, 13 for urinary tract infections and 13 for other problems. By calculating, an

objective result is made and a more accurate therapy could be given. The following important data

could be evaluated: high/small miction volumes, amount of drinking, hours of drinking, type of drink,

amount of produced urine during the night versus the day. Data is compared with normal values.

CONCLUSIONS

A proper calculated micturition diary can be an added value for treating voiding disorders.

09:50–10:00

S1-4 (LO)

DOES BMI INFLUENCE THE EFFICACY OF TENS

TREATMENT FOR OVERACTIVE BLADDER IN CHILDREN?

Raheej KHAN

1

, Massimo GARRIBOLI

2

, Joanna CLOTHIER

1

and Anne WRIGHT

1

1) Evelina London Children’s Hospital, Paediatric Nephro-Urology and Bladder Service, London, UNITED KINGDOM

- 2) Evelina London Children’s Hospital - Guy’s and St Thomas NHS Foundation Trust, Paediatric Urology, London,

UNITED KINGDOM

PURPOSE

Day and night-time urinary incontinence secondary to overactive bladder (OAB) is a disorder

frequently observed in children. Current therapies include urotherapy and anti-muscarinic drugs,

however both have shown poor outcomes. Recently, transcutaneous electric nerve stimulation

(TENS) has been demonstrated successful treatment for OAB. We aimed to assess compliance

and success of TENS in our population

MATERIAL AND METHODS

We randomly selected a cohort of patients from our prospectively maintained database. Patients

were prescribed TENS treatment for a maximum of 84 days. A bladder-voiding diary was completed

by parents. Patients were followed-up 3 months after the initiation of treatment. Demographic data

including age, gender and BMI were collected. Outcome parameters included: resolution of symp-

toms, length of treatment and compliance. We analysed results dividing patients based on compli-

ance (table 2) and BMI (table 3: Underweight (BMI<18.5), normal (18.5< BMI < 25), Overweight

(BMI > 25)).

RESULTS

Total

n=124

Females

n=72(58%)

Males

n=52(42%)

Median age

10(5-17)

11(5-17)

10(5-15)

Compliance

105(85%)

63(88%)

42(81%)

Median Days used/84 78(5-84)

78(5-84)

78(11-84)

No response

64(52%)

33(46%)

31(60%)

Partial/complete response 60(48%)

39(54%)

21(40%)