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Short‐term intravaginal maximal electrical stimulation for refractive detrusor instability
Author(s) -
Yalcin O.T.,
Hassa H.,
Sarac I.
Publication year - 2002
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/s0020-7292(02)00275-8
Subject(s) - medicine , cystometry , irritation , detrusor instability , stimulation , urology , adverse effect , urinary bladder , urinary incontinence , immunology
Objectives: To determine the efficacy of intravaginal maximal electrical stimulation for the treatment of refractive detrusor instability. Methods: Thirty‐five consecutive patients, treated by maximal electrical stimulation for pure refractive detrusor instability were evaluated subjectively by patient's questionnaires and 24‐h urinary diary and objectively by 1‐h standardized pad test and subtracted cystometry before and 1 week after the treatment. Paired‐ t and χ 2 ‐tests were used for the statistical analysis of the data. Results: Thirty‐one (88.6%) of the 35 patients were found to be either cured or improved, subjectively. The overall objective success rates based on the 1‐h pad test and subtracted cystometry were 80.0% and 74.3%, respectively. The results of all subjective and objective assessment tests, except postvoiding residual urine volume, improved significantly after the treatment ( P <0.01). No significant adverse effect related to the treatment was observed, except vaginal irritation noted only by 5 (14.3%) patients. Conclusion: Maximal electrical stimulation could offer a safe, non‐invasive and effective treatment for patients with detrusor instability who respond poorly to other conservative therapies.