[Intravesical electrostimulation for treatment of bladder dysfunction. Initial experiences after gynecological operations].
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.
Kölle
D
D
Universitätsklinik für Frauenheikunde Innsbruck, Osterreich.
Madersbacher
H
H
Kiss
G
G
Mair
D
D
D000328:Adult; D000368:Aged; D004599:Electric Stimulation Therapy / Q000295:instrumentation*; D005260:Female; D005500:Follow-Up Studies; D005831:Genital Diseases, Female / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000503:physiopathology / Q000628:therapy*; D016896:Treatment Outcome; D014555:Urination Disorders / Q000503:physiopathology / Q000628:therapy*; D014563:Urodynamics / Q000502:physiology
Intravesikale Elektrostimulation zur Behandlung von Blasenfunktionsstörungen. Erste Erfahrungen nach gynäkologischen Operationen.