The value of intravesical electrostimulation in the treatment of acute prolonged bladder overdistension

被引：0

作者：

Huber, E. R. ^{[1
]}

Kiss, G. ^{[1
]}

Berger, T. ^{[1
]}

Rehder, P. ^{[1
]}

Madersbacher, H. ^{[1
]}

机构：

[1] Univ Innsbruck, A-6020 Innsbruck, Austria

来源：

UROLOGE | 2007年 / 46卷 / 06期

关键词：

acute prolonged bladder overdistension; intravesical electrostimulation; IVES; acontractile detrusor; weak detrusor;

D O I：

10.1007/s00120-007-1312-y

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

Backgroung. The effectiveness of intravesical electrostimulation (IVES) in the treatment of acute prolonged bladder overdistension (PBO) was investigated. Methods. Sixteen patients (boxed times 11, boxed times 5, circle divide 54 years) after PBO (bladder filling volume: 1317 +/- 320 ml) were evaluated: 11 after surgery and 5 after polytrauma, psychosomatic disorder or LV4 fracture. After exclusion of a neurogenic aetiology and a urodynamic examination, IVES was performed besides IC or suprapubic catheter. Results. Group 1: six patients with a weak detrusor (p(detr. max.)< 30 cmH(2)O); group 2: ten patients had detrusor acontractility. After 25 IVES sessions, group 1 showed a significant increase of p(detr. max.) (p=0.01) as well as a decrease in PVR (31% to 3% of bladder capacity, p=0.02). Group 2 had no significant increase of p(detr. max). Conclusion. Two-thirds of patients with a weak detrusor after PBO will regain balanced voiding after IVES due to detrusor reinforcement. With an acontractile detrusor only bladder sensation improves.

引用

页码：662 / 666

页数：5