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Maximal external electrical stimulation for treatment of neurogenic or non‐neurogenic urgency and/or urge incontinence
Author(s) -
Primus Günter,
Kramer Guus
Publication year - 1996
Publication title -
neurourology and urodynamics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 90
eISSN - 1520-6777
pISSN - 0733-2467
DOI - 10.1002/(sici)1520-6777(1996)15:3<187::aid-nau3>3.0.co;2-b
Subject(s) - medicine , multiple sclerosis , stimulation , urge incontinence , electric stimulation therapy , physical therapy , urinary incontinence , surgery , physical medicine and rehabilitation , psychiatry
Maximal electrical stimulation by intravaginal or intra‐anal electrodes was used for treatment of 75 patients with complaints of urgency and/or urge incontinence. The patient group consisted of 51 women and 24 men. A neurogenic background was present in 30 of the women who had a diagnosis of multiple sclerosis, in the other 45 patients the pathology was idiopathic in nature. After 3 weeks of maximal electrical stimulation treatment, composed of 15 sessions of 20 minutes duration, 59% of the patients had urodynamic and subjective improvement and an additional 40% only subjective improvement. One patient found no benefit after this treatment. The effect lasted for at least 2 years in 64% of the idiopathic group. In the multiple sclerosis group relapse occurred within about 2 months. Re‐treatment of the failures was successful again immediately; the multiple sclerosis patients do need daily home stimulation treatments. © 1996 Wiley‐Liss, Inc.