Electric stimulation of the bladder and the anal sphincter - a new way to treat the neurogenic bladder.
The experiences gained with the intravesical electrostimulation of Katona in 14 children with neurogenic bladders have shown that it is possible to rehabilitate children with neurogenic bladder damage. All these children had never experienced the urge to micturate and it was possible to produce in each of them the sensation of the urge of micturition. In four patients with total incontinence, continence lasting 1 to 1 1/2 hours could be achieved. In 6 patients with a retention overflow bladder micturition leaving no residual urine, a sterile urine and the ability to remain continent for up to 2 hours was achieved. In children with retention overflow bladders which are resistent to therapy, a combinatuon of electrostimulation and resection of the pudendal nerves in girls or external perineal sphincterotomy in boys has provided its value. Anal incontinence can also be cured by direct stimulation of the anal region as we have shown in four patients. These results as well as the results reported by Katona [18] encourage us to recommend electrostimulation in a large number of cases. Should this treatment fail, it is still possible to carry out urinary diversion.
D000293:Adolescent; D001003:Anal Canal / Q000502:physiology*; D002648:Child; D002675:Child, Preschool; D004558:Electric Stimulation; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D009130:Muscle, Smooth / Q000502:physiology*; D001743:Urinary Bladder; D001750:Urinary Bladder, Neurogenic / Q000628:therapy*; D014546:Urinary Catheterization; D014549:Urinary Incontinence / Q000628:therapy