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Intravesical transurethral bladder stimulation.

W E Kaplan, I Richards

    Zeitschrift Fur Kinderchirurgie : Organ Der Deutschen, Der Schweizerischen Und Der Osterreichischen Gesellschaft Fur Kinderchirurgie = Surgery in Infancy and Childhood
    |December 1, 1986
    PubMed
    Summary
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    Intravesical transurethral bladder stimulation helps manage neurogenic bladder by improving bladder sensation and control. This technique can enable some children to void independently or enhance continence when used with intermittent catheterization.

    Area of Science:

    • Urology
    • Neuroscience
    • Rehabilitation Medicine

    Background:

    • Neurogenic bladder affects bladder control due to neurological conditions.
    • Current management includes catheterization and medication, with varying success rates.

    Purpose of the Study:

    • To evaluate intravesical transurethral bladder stimulation as a diagnostic and therapeutic tool for neurogenic bladder.
    • To assess its potential in achieving bladder sensation, detrusor contraction, and urinary control.

    Main Methods:

    • The technique involves electrical stimulation of bladder receptors via a transurethral catheter.
    • Visual biofeedback is provided using a water manometer to display detrusor response.
    • The study assesses stimulus response and therapeutic outcomes in patients with neurogenic bladder.

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    Main Results:

    • Intravesical transurethral bladder stimulation shows potential for diagnosing bladder function response to stimuli.
    • Therapeutically, it may help rehabilitate neurogenic bladders toward improved urinary control.
    • Selected children may achieve voiding without catheterization or improve continence with combined therapy.

    Conclusions:

    • Intravesical transurethral bladder stimulation offers a promising approach for neurogenic bladder management.
    • It serves both diagnostic and rehabilitative purposes, potentially reducing reliance on catheterization.
    • Further research may establish its role in improving quality of life for affected individuals.