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

Liesbeth L. De Wall, Anna P. Bekker, Loes Oomen, Vera A. C. T. Janssen, Barbara B. M. Kortmann, John P. F. A. Heesakkers and Anke J. M. Oerlemans
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Liesbeth L. De Wall: Division of Pediatric Urology, Radboud University Medical Center, Amalia Children’s Hospital, 6525 GA Nijmegen, The Netherlands
Anna P. Bekker: Division of Pediatric Urology, Radboud University Medical Center, Amalia Children’s Hospital, 6525 GA Nijmegen, The Netherlands
Loes Oomen: Division of Pediatric Urology, Radboud University Medical Center, Amalia Children’s Hospital, 6525 GA Nijmegen, The Netherlands
Vera A. C. T. Janssen: Division of Pediatric Urology, Radboud University Medical Center, Amalia Children’s Hospital, 6525 GA Nijmegen, The Netherlands
Barbara B. M. Kortmann: Division of Pediatric Urology, Radboud University Medical Center, Amalia Children’s Hospital, 6525 GA Nijmegen, The Netherlands
John P. F. A. Heesakkers: Department of Urology, University Hospital Maastricht, 6229 HX Maastricht, The Netherlands
Anke J. M. Oerlemans: Department of IQ Healthcare, Radboud University Medical Center, 6525 GA Nijmegen, The Netherlands

IJERPH, 2022, vol. 19, issue 15, 1-11

Abstract: 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.

Keywords: PTNS; children; quality of life; urinary incontinence; qualitative outcomes (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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