title: Short-term intravaginal maximal electrical stimulation for refractive detrusor instability.
abstract: 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.
authors.affiliation: Department of Gynecology and Obstetrics, Unit of Urogynecology, Osmangazi University School of Medicine, Eskisehir, Turkey. omertyalcin@isnet.net.tr
authors.forename: O T
authors.initials: OT
authors.lastname: Yalcin
authors.forename: H
authors.initials: H
authors.lastname: Hassa
authors.forename: I
authors.initials: I
authors.lastname: Sarac
mesh_terms: 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*