{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T17:21:58Z","timestamp":1772990518599,"version":"3.50.1"},"reference-count":11,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,12,20]],"date-time":"2024-12-20T00:00:00Z","timestamp":1734652800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["JPGN rep."],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Myelomeningocele is a complex congenital defect that affects the spinal cord and structures associated with it. These patients often have neurogenic bowel and bladder dysfunction with constipation, fecal and urinary incontinence. In addition to dietary modifications, laxatives, and enemas, therapies such as biofeedback and neurostimulation (invasive and noninvasive) are sometimes used. These techniques are rarely available, may require surgical procedures, and are not devoid of complications. We present the case of a 13\u2010year\u2010old boy with myelomeningocele at the L4 level, with constipation, dyssynergic defecation, and fecal incontinence (FI). He was treated with biofeedback achieving partial improvement of FI, and then with transcutaneous electrical neurostimulation (TENS) with subsequent resolution of constipation and FI. To our knowledge, this is the first case report using neurostimulation with TENS applied to the S2\u2013S4 dermatomes in a patient with myelomeningocele. This represents a safe, noninvasive, and low\u2010cost treatment for these patients.<\/jats:p>","DOI":"10.1002\/jpr3.12152","type":"journal-article","created":{"date-parts":[[2024,12,20]],"date-time":"2024-12-20T11:27:27Z","timestamp":1734694047000},"page":"48-51","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Successful use of transcutaneous parasacral stimulation in a patient with myelomeningocele and fecal incontinence: A case report"],"prefix":"10.1002","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6316-5513","authenticated-orcid":false,"given":"Roman","family":"Bigliardi","sequence":"first","affiliation":[{"name":"Servicio de Gastroenterologia Pedi\u00e1trica Hospital Nacional \u201cProfesor Alejandro Posadas\u201d Buenos Aires Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4347-6749","authenticated-orcid":false,"given":"Claudia","family":"Riera\u2010Canales","sequence":"additional","affiliation":[{"name":"Division of Pediatric Gastroenterology, Hepatology and Nutrition, University of Miami Leonard Miller School of Medicine Miami Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adriana","family":"Oviedo","sequence":"additional","affiliation":[{"name":"Servicio de Gastroenterologia Pedi\u00e1trica Hospital Nacional \u201cProfesor Alejandro Posadas\u201d Buenos Aires Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gonzalo","family":"Ortiz","sequence":"additional","affiliation":[{"name":"Servicio de Gastroenterologia Pedi\u00e1trica Hospital Nacional \u201cProfesor Alejandro Posadas\u201d Buenos Aires Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julian","family":"Fern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Servicio de Gastroenterologia Pedi\u00e1trica Hospital Nacional \u201cProfesor Alejandro Posadas\u201d Buenos Aires Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Santiago","family":"Meduri","sequence":"additional","affiliation":[{"name":"Servicio de Kinesiologia del Hospital Nacional \u201cProfesor Alejandro Posadas\u201d Buenos Aires Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricio","family":"Birsa","sequence":"additional","affiliation":[{"name":"Servicio de Gastroenterologia Pedi\u00e1trica Hospital Nacional \u201cProfesor Alejandro Posadas\u201d Buenos Aires Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriela","family":"Messere","sequence":"additional","affiliation":[{"name":"Servicio de Gastroenterologia Pedi\u00e1trica Hospital Nacional \u201cProfesor Alejandro Posadas\u201d Buenos Aires Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4507-8720","authenticated-orcid":false,"given":"Miguel","family":"Saps","sequence":"additional","affiliation":[{"name":"Division of Pediatric Gastroenterology, Hepatology and Nutrition, University of Miami Leonard Miller School of Medicine Miami Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,12,20]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/nmo.12520"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.52787\/MWHD8394"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOP.0000000000000394"},{"issue":"2","key":"e_1_2_6_5_1","article-title":"Diferencias en la duraci\u00f3n del reflejo rectoanal inhibitorio en pacientes con constipaci\u00f3n funcional refractaria y mielomeningocele","volume":"121","author":"Fern\u00e1ndez J","year":"2023","journal-title":"Arch Argent Pediatr"},{"issue":"2","key":"e_1_2_6_6_1","first-page":"S392","article-title":"Is biofeedback therapy success long lasting for organic and functional fecal incontinence?","volume":"74","author":"Fernandez J","year":"2022","journal-title":"J Pediatr Gastroenterol Nutr"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/nmo.13184"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.6237"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000023745"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2012.06.006"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-011-1328-z"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2018.02.021"}],"container-title":["JPGN Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jpr3.12152","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T05:36:10Z","timestamp":1751434570000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jpr3.12152"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,20]]},"references-count":11,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,2]]}},"alternative-id":["10.1002\/jpr3.12152"],"URL":"https:\/\/doi.org\/10.1002\/jpr3.12152","archive":["Portico"],"relation":{},"ISSN":["2691-171X","2691-171X"],"issn-type":[{"value":"2691-171X","type":"print"},{"value":"2691-171X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,20]]},"assertion":[{"value":"2024-05-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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