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[Intravesical electrostimulation for treatment of bladder dysfunction. Initial experiences after gynecological
D Kölle1, H Madersbacher, G Kiss
1Universitätsklinik für Frauenheikunde Innsbruck, Osterreich.
Objective:
We investigated the role of intravesical electrical stimulation in the treatment of voiding dysfunctions following major gynecologic surgery.
Methods:
19 female patients with sensory and/or motor voiding dysfunction following gynecologic operations underwent intravesical electrostimulation after failure of traditional treatments. Before and after therapy, urodynamic examinations were performed. The follow-up was 6-24 months.
Results:
All cases of sensory bladder dysfunction were cured. Volumes of residual urine significantly decreased (mean 274 vs. 53 ml: p = 0.0003) and maximum detrusor pressure increased (mean 6 vs. 27 cm H20; p = 0.0007). An early start of therapy (within 6 weeks after surgery) resulted in a better outcome.
Conclusions:
Intravesical electrical stimulation was effective in the treatment of sensory and motor voiding dysfunctions following major gynecologic surgery.