Kaplan W E, Richards I
Division of Urology, Northwestern University Medical School, Chicago, Illinois.
J Urol. 1988 Nov;140(5 Pt 2):1282-4. doi: 10.1016/s0022-5347(17)42025-8.
Intravesical transurethral bladder stimulation has been used as a diagnostic and rehabilitative technique in children with a neurogenic bladder for 3 years. The program has expanded from 10 to 42 patients undergoing a significant number of therapy sessions. The technique presently is done on an outpatient basis. The child is catheterized for 90 minutes and undergoes electrotherapy for 60 minutes, ideally 3 to 5 days per week. An individual series consists of 15 to 30 daily sessions. Presently, 62 patients have been evaluated and 42 have had a least 1 complete series. This ongoing program has provided more data to classify better patients who can expect success with the program. Of the patients who presented initially with detrusor contractions and areflexia 80 and 33 per cent, respectively, can expect to void to completion or have full sensation so as to perform timely clean intermittent catheterization. A total of 21 patients underwent at least 3 series, and 38 per cent void with low pressure and total continence.
膀胱内经尿道膀胱刺激术作为一种诊断和康复技术，已在神经源性膀胱患儿中应用3年。该项目已从10名患者扩展至42名患者，他们接受了大量的治疗疗程。目前，该技术在门诊进行。患儿插入导尿管90分钟，并接受60分钟的电疗，理想情况下每周进行3至5天。一个单独的疗程包括15至30次每日治疗。目前，已对62名患者进行了评估，其中42名患者至少完成了1个完整疗程。这个正在进行的项目提供了更多数据，以便更好地对有望从该项目中取得成功的患者进行分类。最初表现为逼尿肌收缩和无反射的患者中，分别有80%和33%有望排空膀胱或有完全感觉，从而能够及时进行清洁间歇性导尿。共有21名患者接受了至少3个疗程的治疗，38%的患者能够低压排尿且完全控尿。
