Endovesical transurethral electrostimulation in the rehabilitation of neurogenic bladder in children. 4 Years clinical experience.
4 years of experience in the rehabilitation of neurogenic bladders by endovesical electrostimulation (ES) with 31 children permits us to judge the value and limitations of this treatment. 8 children (26%) reacted favorably to treatment and acquired continence approaching normal. 12 children (38%) showed modifications of bladder-sphincter equilibrium, without acquiring socially sufficient continence. 10 children (33%) showed no response to treatment. In 1 child ES may have precipitated bladder decompensation. An analysis of clinical, manometric, and radiological results in comparison to the underlying pathology permitted us to define the contraindications to ES therapy, criteria which should in the future permit a more efficient selection of patients.
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D004599:Electric Stimulation Therapy; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008365:Manometry; D009119:Muscle Contraction; D009130:Muscle, Smooth / Q000503:physiopathology; D012677:Sensation; D001743:Urinary Bladder / Q000294:innervation / Q000503:physiopathology; D001750:Urinary Bladder, Neurogenic / Q000503:physiopathology / Q000628:therapy*