Intravesical transurethral electrotherapy for the XXXX .

@entity1 @entity1494
Intravesical transurethral bladder stimulation is a rehabilitative and diagnostic technique for the @entity1494 . The goal of therapy is 3-fold: 1) to achieve the sensation of bladder filling or the urge to void, 2) to initiate a detrusor contraction and 3) to achieve conscious urinary control. The procedure combines direct electrical stimulation of bladder receptors with visual biofeedback using @entity1 observance of a water manometric representation of the detrusor response. Since November 1984 we have evaluated and/or treated 24 @entity1 with a @entity1494 . An electrocatheter is passed transurethrally into the bladder and the bladder is filled to a third of its capacity with normal saline. We then deliver 2 to 6 mA. every 3 seconds for 90 minutes. Full treatment usually requires 30 to 90 sessions. Of the 24 @entity1 13 had only 1 evaluation and 10 had 3 to 39 sessions. Of those 10 @entity1 7 had significant detrusor activity that had not been present before treatment and 4 have a sensation to void. The remaining @entity1 underwent 110 sessions. He has controlled detrusor contractions resulting in a normal voiding pattern. It appears that intravesical transurethral bladder stimulation may be helpful diagnostically to determine the stimulus response of bladder function and therapeutically to rehabilitate the @entity1494 toward full control.
