[Vaginal electrostimulation with the CONTERG apparatus in the treatment of urinary incontinence].

The authors submit their initial clinical experience with vaginal electrostimulation in the treatment of urinary incontinence, using a CONTERG apparatus made in Czechoslovakia. Treatment was applied in 26 women with stress incontinence, incl. 8 (31%) who had moreover symptoms of sensory urgent micturition. A favourable clinical effect was recorded in 11 patients (42%), a partial effect in 9 (34%), treatment failed in six patients (24%). The direct effect of stimulation of the pelvic diaphragm was verified by profilometric examination which proved a rise of the maximum and clossure pressure of the urethra (P less than 0.05) and values of the transmissive factor (P less than 0.01). The indirect inhibitory effect on the detrusor was confirmed by cystometric examination which indicated a rise of values of the volume of the first desire to void (P less than 0.01) and higher values of the detrusor coefficient--compliance (P less than 0.01) in the investigated group.