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Early experience with transurethral electrical bladder stimulation

C J Lyne1, M F Bellinger

  • 1University of Pittsburgh, Children's Hospital of Pittsburgh, Pennsylvania.

The Journal of Urology
|August 1, 1993
PubMed
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Transurethral electrical bladder stimulation helped patients with neurovesical dysfunction achieve detrusor contractions and improved bladder capacity. While some experienced long-term fecal continence benefits, none gained voluntary micturition control.

Area of Science:

  • Pediatric Urology
  • Neuroscience
  • Rehabilitation Medicine

Background:

  • Neurovesical dysfunction significantly impacts children's quality of life.
  • Current management strategies for neurovesical dysfunction have limitations.
  • Electrical bladder stimulation offers a potential therapeutic avenue.

Purpose of the Study:

  • To evaluate the efficacy of transurethral electrical bladder stimulation in pediatric patients with neurovesical dysfunction.
  • To assess changes in bladder function, sensation, and continence following electrical stimulation.
  • To determine the long-term outcomes of this therapeutic intervention.

Main Methods:

  • Seventeen pediatric patients (2.5-20 years) with various neurovesical conditions underwent transurethral electrical bladder stimulation.

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  • A total of 41 treatment series (605 sessions) were completed.
  • Serial urodynamic studies were performed on a subset of patients to objectively measure bladder capacity and function.

    • Main Results:

    • All patients achieved detrusor contractions during therapy.
    • 88% of patients reported sensation of contractions, often developing later in treatment.
    • 67% of patients with documented urodynamic studies showed increased bladder capacity (14-158%), though 3 reverted to near baseline.
    • Two patients experienced long-term improvement in fecal continence.

    Conclusions:

    • Transurethral electrical bladder stimulation is effective in inducing detrusor contractions and improving bladder capacity in pediatric neurovesical dysfunction.
    • While sensation and bladder capacity can improve, sustained benefits require further investigation.
    • Electrical bladder stimulation shows promise for improving bladder management and fecal continence in select pediatric populations, but does not establish voluntary micturition control.