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Intravesical bladder stimulation in myelodysplasia
1Division of Urology, Northwestern University Medical School, Chicago, Illinois.
The Journal of Urology
|November 1, 1988
Summary
Intravesical transurethral bladder stimulation shows promise for children with neurogenic bladder. This therapy helps improve bladder function and continence in pediatric patients.
Area of Science:
- Pediatric Urology
- Neurorehabilitation
- Biomedical Engineering
Background:
- Neurogenic bladder significantly impacts children's quality of life.
- Intravesical transurethral bladder stimulation (ITBS) is an emerging technique for managing pediatric neurogenic bladder.
- Established ITBS protocols are crucial for optimizing patient outcomes.
Observation:
- The ITBS program expanded to 42 patients, with 62 evaluated.
- Therapy involves outpatient catheterization (90 min) and electrotherapy (60 min), 3-5 days/week for 15-30 sessions.
- Patients with detrusor contractions and areflexia showed 80% and 33% success rates, respectively.
Findings:
- 80% of patients with detrusor contractions achieved complete voiding.
- 33% of patients with areflexia gained sufficient sensation for clean intermittent catheterization.
- 38% of patients completing 3+ series achieved low-pressure voiding and total continence.
Implications:
- ITBS is a viable outpatient treatment for pediatric neurogenic bladder.
- Patient selection based on initial bladder response can predict successful outcomes.
- Further research can refine ITBS protocols for enhanced efficacy and continence in children.