What other treatments are used in the treatment of bladder dysfunction?

Updated: Jan 04, 2019
  • Author: Gregory T Carter, MD, MS; Chief Editor: Elizabeth A Moberg-Wolff, MD  more...
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Answer

Electrical stimulation involves the use of electrodes driven by an implanted receiver to stimulate detrusor contractions. Electrodes usually are placed in the anterior sacral roots. Bilateral S2-S4 rhizotomies are usually a prerequisite for preventing spontaneous hyperreflexic contractions. This technique may be useful for patients who can transfer independently but who experience incontinence between catheterizations.

A randomized, controlled study by Chen et al found percutaneous tibial nerve stimulation (PTNS) to be as effective as the anticholinergic medication solifenacin succinate in the treatment of neurogenic detrusor overactivity in patients with SCI. In the report, 100 patients were divided between the two treatments, with PTNS administered through adhesive skin surface electrodes. Bladder diaries in both groups showed statistically significant improvement after 2 and 4 weeks of treatment, although the difference in improvement between the groups was not significant. [34]

Some medical institutions have successfully used injections of bovine collagen into the urethra and bladder neck to increase tissue bulk around the bladder neck in patients with decreased outlet resistance.


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