Short-term intravaginal maximal electrical stimulation for refractive detrusor instability.
OBJECTIVE
To determine the efficacy of intravaginal maximal electrical stimulation for the treatment of refractive detrusor instability.


METHODS
Thirty-five consecutive patients, treated by maximal electrical stimulation for pure refractive detrusor instability were evaluated subjectively by patient's questionnaires and 24-h urinary diary and objectively by 1-h standardized pad test and subtracted cystometry before and 1 week after the treatment. Paired-t and chi(2)-tests were used for the statistical analysis of the data.


RESULTS
Thirty-one (88.6%) of the 35 patients were found to be either cured or improved, subjectively. The overall objective success rates based on the 1-h pad test and subtracted cystometry were 80.0% and 74.3%, respectively. The results of all subjective and objective assessment tests, except postvoiding residual urine volume, improved significantly after the treatment (P<0.01). No significant adverse effect related to the treatment was observed, except vaginal irritation noted only by 5 (14.3%) patients.


CONCLUSIONS
Maximal electrical stimulation could offer a safe, non-invasive and effective treatment for patients with detrusor instability who respond poorly to other conservative therapies.
Yalcin
O T
OT
Department of Gynecology and Obstetrics, Unit of Urogynecology, Osmangazi University School of Medicine, Eskisehir, Turkey. omertyalcin@isnet.net.tr
Hassa
H
H
Sarac
I
I
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004599:Electric Stimulation Therapy; D005260:Female; D006801:Humans; D008875:Middle Aged; D011446:Prospective Studies; D016896:Treatment Outcome; D014555:Urination Disorders / Q000628:therapy*