INTRAVESICAL ELECTROSTIMULATION FOR THE T REATMENT OF VOIDING DYSFUNCTION - INITIAL RESULTS AFTER GYNECOLOGIC SURGERY

Objective: We investigated the role of intravesical electrical stimula tion in the treatment of voiding dysfunctions following major gynecolo gic surgery. Methods: 19 female patients with sensory and/or motor voi ding dysfunction following gynecologic operations underwent intravesic al electrostimulation after failure of traditional treatments. Before and after therapy, urodynamic examinations were performed. The follow- up was 6-24 months. Results: All cases of sensory bladder dysfunction were cured. Volumes of residual urine significantly decreased (mean 27 4 vs. 53 ml; p = 0.0003) and maximum detrusor pressure increased (mean 6 vs. 27 cm H2O; p = 0.0007). An early start of therapy (within 6 wee ks after surgery) resulted in a better outcome. Conclusions: Intravesi cal electrical stimulation was effective in the treatment of sensory a nd motor voiding dysfunctions following major gynecologic surgery.