Medizinische Universität Graz - Research portal
Selected Publication:
Primus, G; Kramer, G; Pummer, K.
Restoration of micturition in patients with acontractile and hypocontractile detrusor by transurethral electrical bladder stimulation.
Neurourol Urodyn. 1996; 15(5):489-497
Doi: 10.1002/(SICI)1520-6777(1996)15:5<489::AID-NAU6>3.0.CO;2-B
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- Co-authors Med Uni Graz
- Pummer Karl
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- Abstract:
- The aim of transurethral electrical bladder stimulation (TEBS) treatment in patients with diminished detrusor contractility is to attain complete voiding, i.e., micturition without residual urine, which is under volitional control. In contrast to other types of electrical bladder stimulation, the physiological basis for this kind of treatment is sensitizing of the bladder mechanoreceptor afferents. The latency of afferent stimuli in normal conditions indicates that myelinated A-delta-fibers are used for neurotransmission from these mechanoreceptors. Forty-eight patients with hypocontractile or acontractile detrusor underwent intravesical electrical stimulation. All patients had a history pointing to neurogenic pathology. Forty patients had an acontractile and 8 a hypocontractile bladder. Prior to therapy, the mean residual urine volume was 461 ml. After stimulation, 32 of 48 patients were able to void with a mean residual of 57 ml. Detrusor contraction was achieved in 39% and bladder sensation was perceived by 75% of patients who failed these conditions before treatment. Following therapy, 19 of 35 patients were able to empty their bladder without the previously needed catheterization. Side effects were epididymitis in 1 and cystitis in 7 patients.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult -
- Aged -
- Aged, 80 and over -
- Electric Stimulation Therapy - adverse effects
- Female - adverse effects
- Humans - adverse effects
- Male - adverse effects
- Middle Aged - adverse effects
- Muscle Contraction - adverse effects
- Recurrence - adverse effects
- Sensation - adverse effects
- Urinary Bladder - physiopathology
- Urinary Bladder, Neurogenic - physiopathology
- Urinary Catheterization - physiopathology
- Urination - physiopathology
- Urodynamics - physiopathology
- Find related publications in this database (Keywords)
- transurethral electrical bladder stimulation
- neurogenic hypocontractile bladder
- bladder sensation
- restoration of voiding