<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1137-6627</journal-id>
<journal-title><![CDATA[Anales del Sistema Sanitario de Navarra]]></journal-title>
<abbrev-journal-title><![CDATA[Anales Sis San Navarra]]></abbrev-journal-title>
<issn>1137-6627</issn>
<publisher>
<publisher-name><![CDATA[Gobierno de Navarra. Departamento de Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1137-66272020000300013</article-id>
<article-id pub-id-type="doi">10.23938/assn.879</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Neuroestimulación eléctrica sacra en la vejiga hiperactiva pediátrica refractaria]]></article-title>
<article-title xml:lang="en"><![CDATA[Sacral electrical neurostimulation in the refractory pediatric overactive bladder]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Casal-Beloy]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Novoa]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Casal Beloy]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García González]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Somoza Argibay]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Complejo Hospitalario Universitario A Coruña Servicio de Cirugía Pediátrica ]]></institution>
<addr-line><![CDATA[La Coruña ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Complejo Hospitalario Universitario A Coruña Servicio de Cirugía General y del Aparato Digestivo ]]></institution>
<addr-line><![CDATA[La Coruña ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital San Rafael Unidad de Fisioterapia y Rehabilitación del Suelo Pélvico Pediátrico ]]></institution>
<addr-line><![CDATA[La Coruña ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>43</volume>
<numero>3</numero>
<fpage>417</fpage>
<lpage>421</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1137-66272020000300013&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1137-66272020000300013&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1137-66272020000300013&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La incontinencia urinaria es uno de los motivos de visita más frecuentes al urólogo pediátrico, y la vejiga hiperactiva es la disfunción del tracto urinario inferior que más frecuentemente presenta este síntoma. Actualmente, el único fármaco aprobado para el manejo de la vejiga hiperactiva en pediatría es la oxibutinina; sin embargo, muchos pacientes responden parcialmente a esta terapia o son refractarios a la misma. La electroterapia vesical ha surgido como nueva alternativa en el algoritmo de manejo de los pacientes con vejiga hiperactiva refractaria a los fármacos anticolinérgicos, pero la evidencia bibliográfica al respecto hasta la fecha es escasa. Presentamos el caso de una paciente de 12 años con vejiga hiperactiva refractaria a oxibutinina y solifinacina que presentó una buena respuesta al tratamiento con electroterapia vesical sacra, con desaparición completa de los síntomas (incontinencia diurna y urgencia miccional), sin efectos adversos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Urinary incontinence is one of the principal reasons for visiting the urologist amongst paediatric patients, and an overactive bladder is the vesical dysfunction that most frequently provokes this. Currently the only medicine approved for managing an overactive bladder is oxybutynin; however, many patients respond partially to this therapy or are refractory to it. Vesical electrotherapy has emerged as a new alternative in the algorithm for managing patients with an overactive bladder refractory to anticholinergic medicines, but the evidence on this issue has to date been scant. We present the case of a 12-year-old patient with an overactive bladder refractory to oxybutynin and solifenacin who presented a good response to treatment with sacral vesical electrotherapy, with complete disappearance of the symptoms (diurnal incontinence and urgency of micturition) without adverse effects]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Vejiga hiperactiva]]></kwd>
<kwd lng="es"><![CDATA[Incontinencia urinaria]]></kwd>
<kwd lng="es"><![CDATA[Pediatría]]></kwd>
<kwd lng="es"><![CDATA[Electroestimulación sacra]]></kwd>
<kwd lng="es"><![CDATA[Disfunción vesical]]></kwd>
<kwd lng="en"><![CDATA[Overactive bladder]]></kwd>
<kwd lng="en"><![CDATA[Incontinence urge]]></kwd>
<kwd lng="en"><![CDATA[Paediatrics]]></kwd>
<kwd lng="en"><![CDATA[Sacral electroestimulation]]></kwd>
<kwd lng="en"><![CDATA[Bladder dysfunction]]></kwd>
</kwd-group>
</article-meta>
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