title: [Biofeedback and electrostimulation in the treatment of non monosymptomatic enuresis].
abstract: OBJECTIVE
  To show our experience with biofeedback and electrostimulation techniques in the treatment of non monosymptomatic enuresis.
  
  
  METHODS
  We reviewed biofeedback and electrostimulation techniques in the treatment of complicated enuresis carried out in our institution between 1995 and 2000. We report 99 patients (65 girls and 34 boys) with ages ranging from 5 to 14 years old. A complete urodinamy study divided the patients into 5 groups: detrusor-sphincter dysfunction (DSD) (47 patients), detrusor overactivity (DO) (25 patients), urge syndrome (US) (15 patients), sphincter hypertony (SH) (10 patients) and "retentionist" bladder (RB) (2 patients). Success was defined as less than three wet nights in a month. Biofeedback and electrostimulation program was designed in 10 sessions per week (20 minutes each session) with SIGMAX-Biomedical software. Tibial electrostimulation with SANS-UroSurge equipment was indicated when biofeedback and electrostimulation techniques failed (12 sessions per week, 30 minutes each session). RESULTS. The success rate has been 78.9% in DSD group, 80% in DO group, 85% in US group, 75% in SH group, 100% in RB group.
  
  
  CONCLUSIONS
  Effectiveness of biofeedback and electrostimulation techniques in the treatment of non monosymptomatic enuresis has been reported and seems to be permanent in time.
authors.affiliation: Sección de Urología Pediátrica, Servicio de Cirugía Pediátrica, Hospital Infantil Universitario Virgen del Rocío, Sevilla.
authors.forename: I
authors.initials: I
authors.lastname: Fernández-Pineda
authors.forename: M P
authors.initials: MP
authors.lastname: Pérez Espejo
authors.forename: M A
authors.initials: MA
authors.lastname: Fernández Hurtado
authors.forename: R
authors.initials: R
authors.lastname: Barrero Candau
authors.forename: F
authors.initials: F
authors.lastname: García Merino
mesh_terms: D000293:Adolescent; D001676:Biofeedback, Psychology; D002648:Child; D002675:Child, Preschool; D004599:Electric Stimulation Therapy; D004775:Enuresis / Q000175:diagnosis / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D012189:Retrospective Studies