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Related Experiment Videos

Electrical stimulation for incontinence. Technique, selection, and results.

C Godec, A S Cass, G F Ayala

    Urology
    |April 1, 1976
    PubMed
    Summary

    Chronic functional electrical stimulation (FES) effectively treats incontinence caused by hyperreflexic bladder or pelvic floor weakness. Patient selection using specific tests ensures a high success rate for this effective treatment.

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    Area of Science:

    • Urology
    • Neurology
    • Rehabilitation Medicine

    Background:

    • Urinary incontinence, particularly due to hyperreflexic bladder or pelvic floor weakness, significantly impacts quality of life.
    • Current treatment options may not be effective for all patients, necessitating alternative therapeutic approaches.

    Purpose of the Study:

    • To evaluate the efficacy of chronic functional electrical stimulation (FES) in treating incontinence.
    • To identify predictive factors for successful FES outcomes in patients with specific types of incontinence.

    Main Methods:

    • Patient selection involved cystometry, pelvic floor electromyography, and anal sphincter pressure measurements.
    • Chronic functional electrical stimulation (FES) was applied to eligible patients.
    • Outcomes were assessed based on improvement in incontinence symptoms post-stimulation.

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    Main Results:

    • A high success rate of 92% was achieved with chronic FES in the selected group of incontinent patients.
    • Significant improvement in incontinence was observed in patients with hyperreflexic bladder and/or pelvic floor weakness following FES.
    • The pre-treatment selection method accurately identified patients likely to benefit from FES.

    Conclusions:

    • Chronic functional electrical stimulation (FES) is a highly effective treatment for incontinence resulting from hyperreflexic bladder and/or pelvic floor weakness.
    • A rigorous selection process incorporating urodynamic and electrophysiological assessments is crucial for maximizing FES success rates.
    • FES offers a promising therapeutic option for managing refractory incontinence in carefully selected individuals.