Intravesical Electrostimulation in Pediatric Patients With Spinal Cord Defects

Intravesical electrical stimulation in the treatment of micturition dysfunction in children

“…Unfortunately, Pugach et al [2000] recently reported less favorable long term e¡ects with IVES and concluded that the treatment was not a valid alternative to surgery in children with incontinence and high ¢lling pressure. Patients with such problems are rare at our clinic and they were not included in the study.…”

“…The procedure has not been generally accepted, partly because of lack of theoretical background. However, several clinical studies have been published during the last 30 years, some presenting positive e¡ects with cured patients [Berger et al, 1978;Madersbacher et al, 1982;Madersbacher and Ebner, 1992;Primus et al, 1996;Kaplan, 2000], others reporting failure of treatment [Nicholas andEckstein, 1975, Boone et al, 1992;Decter et al, 1994, Decter, 2000Pugach et al, 2000].…”

Transcutaneous electrical stimulation of urinary bladder in patients with spinal cord injuries

“…The goal of nerve stimulation is to improve function of the lower urinary tract with respect to the collection of urine in the urinary bladder, the activity of the sphincter and continence mechanism, and the ability to effectively void the bladder. A number of studies have also reported decreased spasticity following electrical stimulation [8][9][10][11].…”

“…• Electrical stimulation and electrical modulation of dysfunction of the detrusor and sphincter with implants [10][11][12][13][14][15].…”