Rehabilitation of micturition in patients with incomplete spinal cord lesions by transurethral electrostimulation of the bladder

European Urology
H MadersbacherS Spanudakis

Abstract

Since the first description of the method of transurethral electrostimulation by Katona in 1956, controversial opinions have been published. In contrast to other types of electrical bladder stimulation the physiological basis for this method of treatment is the stimulation of receptors in the bladder wall. With the help of forceful stimuli damaged neurons may be activated leading to clinical success. This report presents our results over a 4-year period using stimulation parameters other than those published to date and studying the effects objectively by using urodynamic techniques. The results obtained in 30 adults with neurogenic bladder disturbance due to incomplete traumatic cord lesions will be presented under the following headings; development or alteration of bladder sensation or of detrusor contraction, the achievement of bladder control and the efficiency of micturition as shown by the decrease of residual urine. The method is helpful in the restoration of micturition in patients with incomplete traumatic spinal cord lesions: 26 out of 30 patients gained perfect bladder sensation, 25 of them achieved satisfactory bladder contractions, 28 ended the stimulation program with a residual below 50 cm3 and 17 out of 30 gain...Continue Reading

Citations

Apr 1, 1989·The Journal of Urology·A el RifaeiM M Elhilali
Apr 23, 2003·Neurourology and Urodynamics·Gunilla GladhSivert Lindström
Aug 1, 1994·The Journal of Urology·R M DecterC Laudermilch
Jul 1, 1986·The Journal of Urology·W E Kaplan, I Richards
Jan 1, 1987·Acta Neurologica Scandinavica·T Petersen
Jan 1, 1996·Neurourology and Urodynamics·W A HübnerI Furka

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