Comprehensive Bladder Management Program Combined with a Biofeedback Stimulator in Neurogenic Bladder Rehabilitation

Area of Science:

• Urology
• Rehabilitation Medicine
• Neuroscience

Background:

• Neurogenic Bladder (NB) is urinary dysfunction from nervous system damage.
• Current rehabilitation treatments aim to improve bladder capacity, reduce residual urine, and decrease incontinence.
• The therapeutic effect of comprehensive bladder management (CBM) combined with biofeedback stimulators for NB lacks consensus.

Purpose of the Study:

• To investigate the safety and effectiveness of CBM combined with biofeedback stimulators for NB rehabilitation.
• To evaluate the impact of this combined therapy on bladder function and patient quality of life.

Main Methods:

• An experimental group received step-by-step CBM combined with biofeedback stimulator therapy.
• Treatment outcomes were assessed by changes in bladder capacity, urinary incontinence incidence, residual urine volume, and ICIQ-SF scores.

Main Results:

• Significant improvements were observed in bladder capacity (212.37±45.56 mL to 350.98±93.52 mL).
• Urinary incontinence incidence decreased from 46.43% to 7.14%.
• Residual urine volume reduced (149.25±12.25 mL to 49.63±6.96 mL), and ICIQ-SF scores improved (14.12±3.55 to 5.95±2.26).

Conclusions:

• Combined CBM and biofeedback stimulator therapy is effective for neurogenic bladder rehabilitation.
• This approach significantly improves bladder capacity, reduces residual urine, and decreases incontinence.
• The combined therapy enhances overall bladder function and patient quality of life.