Intravesical transurethral electrotherapy for the neurogenic bladder

Area of Science:

• Urology
• Neurology
• Rehabilitation Medicine

Background:

• Neurogenic bladder significantly impairs quality of life and urinary control.
• Current treatments for neurogenic bladder have limitations in restoring function.
• Intravesical transurethral bladder stimulation offers a novel therapeutic avenue.

Purpose of the Study:

• To evaluate the diagnostic and therapeutic efficacy of intravesical transurethral bladder stimulation for neurogenic bladder.
• To assess the ability of the technique to restore bladder sensation and detrusor activity.
• To determine if conscious urinary control can be achieved through this intervention.

Main Methods:

• A total of 24 patients with neurogenic bladder were evaluated and/or treated.
• The procedure involved transurethral electrocatheter insertion and bladder filling with saline.
• Electrical stimulation (2-6 mA every 3 seconds for 90 minutes) was administered, combined with visual biofeedback.
• Treatment duration varied, with some patients receiving up to 110 sessions.

Main Results:

• Seven out of ten patients who underwent 3-39 sessions showed significant detrusor activity post-treatment.
• Four patients regained the sensation to void after treatment.
• One patient achieved controlled detrusor contractions and a normal voiding pattern after 110 sessions.

Conclusions:

• Intravesical transurethral bladder stimulation appears to be a valuable diagnostic tool for assessing bladder response.
• The technique demonstrates therapeutic potential in rehabilitating neurogenic bladders, leading to improved function and control.
• Further research is warranted to optimize treatment protocols and patient selection for intravesical transurethral bladder stimulation.