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Related Experiment Videos

Transurethral electrical bladder stimulation: initial results.

R M Decter1, P Snyder, T K Rosvanis

  • 1Department of Surgery, Milton S. Hershey Medical Center, Pennsylvania State University, Hershey.

The Journal of Urology
|August 1, 1992
PubMed
Summary

Transurethral electrical bladder stimulation shows limited success in rehabilitating neurogenic bladders, with most patients achieving bladder contractions but few gaining volitional voiding control. Further research is needed to determine its long-term efficacy and patient benefits.

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Area of Science:

  • Urology
  • Pediatric Urology
  • Neuro-Urology

Background:

  • Neurogenic bladder, often resulting from conditions like myelomeningocele, presents significant challenges in bladder management.
  • Transurethral electrical bladder stimulation (TEBS) has been explored as a rehabilitative therapy for neurogenic bladder.
  • Previous studies by Kaplan and Richards suggested positive outcomes with TEBS.

Purpose of the Study:

  • To evaluate the efficacy of transurethral electrical bladder stimulation in a pediatric and young adult population with neurogenic bladder.
  • To assess the achievement of bladder contractions, sensory perception, and volitional voiding following TEBS.
  • To determine changes in bladder capacity and end-filling pressures through cystometrograms.

Main Methods:

  • A program of transurethral electrical bladder stimulation was implemented in 21 patients (ages 4 months to 26 years) with neurogenic bladder.

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  • The stimulation protocol followed recommendations by Kaplan and Richards, involving daily 90-minute sessions.
  • Cystometrograms were performed before each treatment series to monitor bladder function.

    • Main Results:

    • Ninety-five percent (20/21) of patients achieved bladder contractions during stimulation.
    • Sixty percent (12/21) reported a definite or probable sense of these contractions.
    • Limited improvements were observed in bladder capacity and end-filling pressures; only one patient initiated biofeedback, with ongoing challenges.

    Conclusions:

    • Transurethral electrical bladder stimulation can induce bladder contractions in most patients with neurogenic bladder.
    • The ability to achieve volitional voiding and long-term functional improvement remains limited.
    • This therapy is time-consuming and labor-intensive, requiring informed patient and parental expectations regarding potential outcomes.