[Percutaneous direct current treatment (myelotron) of neurogenic bladder disorders due to injuries of the lower motor neurons].
We examined 18 patients with lesion of the lower motor neuron, conditioned partly by lesion of the spinal cord, partly by lesion of the peripheral vesical nerves, before and after the percutaneous electrostimulation (myelotron) and established the urodynamically verified effect. Apart from one case of unclarified and fully therapy-resistent atony of the urinary bladder we found in all patients a subjective improvement of their complaints (retarded beginning of miction, spontaneous miction only with straining, large quantities of residual urine). Objectively an improvement of the sensitivity of the urinary bladder or of the motoricity appeared, in most cases both. We could not establish an essential influence on the tonus of an empty bladder and the tonus of the sphincter musculature. In all patients the residual urine could be reduced drastically, after the treatment the major part of the patient could urinate without residual urine.
D000328:Adult; D000368:Aged; D004558:Electric Stimulation; D004599:Electric Stimulation Therapy / Q000295:instrumentation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009046:Motor Neurons; D013124:Spinal Injuries / Q000150:complications; D001743:Urinary Bladder / Q000294:innervation; D001750:Urinary Bladder, Neurogenic / Q000209:etiology / Q000628:therapy*; D014554:Urination
Perkutane Gleichstrombehandlung (Myelotron) neurogener Blasenstörungen bei Läsionen des unteren Motorneurons.