European urology · 1997
Bladder biofeedback for the treatment of refractory sensory urgency in adults.
Клиническое исследованиеСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Wyndaele J J, Hoekx L, Vermandel A
Аннотация
OBJECTIVE: Evaluation of bladder biofeedback in patients with sensory urgency refractory to medication and classical bladder training.
METHODS: In 12 such patients a non-electronic technique of bladder biofeedback was used. Ambulatory treatment sessions were done once a week for 4 weeks, as opposed to every 14 days, with a mean total treatment period of 8 weeks. Micturition charts were completed before, during and 14 days after treatment by the patient. Before starting, patients had a mean of 15.8 micturitions/day, 2.3 micturitions/night, and a mean functional bladder capacity of 96 ml (26-172 ml). Urodynamic investigation showed a low-capacity bladder, hypersensitivity in some patients, and normal urodynamic parameters in others.
RESULTS: At the end of biofeedback, patients had a mean of 5.7 micturitions/day, 0.3 micturitions/night, and a mean functional bladder capacity of 296 ml (163-470 ml). The results 9 months after completing the treatment were unchanged. Quality of life improved substantially in all.
CONCLUSIONS: Bladder biofeedback is a valuable treatment for sensory urgency refractory to classical treatment.
METHODS: In 12 such patients a non-electronic technique of bladder biofeedback was used. Ambulatory treatment sessions were done once a week for 4 weeks, as opposed to every 14 days, with a mean total treatment period of 8 weeks. Micturition charts were completed before, during and 14 days after treatment by the patient. Before starting, patients had a mean of 15.8 micturitions/day, 2.3 micturitions/night, and a mean functional bladder capacity of 96 ml (26-172 ml). Urodynamic investigation showed a low-capacity bladder, hypersensitivity in some patients, and normal urodynamic parameters in others.
RESULTS: At the end of biofeedback, patients had a mean of 5.7 micturitions/day, 0.3 micturitions/night, and a mean functional bladder capacity of 296 ml (163-470 ml). The results 9 months after completing the treatment were unchanged. Quality of life improved substantially in all.
CONCLUSIONS: Bladder biofeedback is a valuable treatment for sensory urgency refractory to classical treatment.