Bladder stimulation for neurogenic bladder

doi:10.1136/bmj.b1603

Published 21 April 2009, doi:10.1136/bmj.b1603
Cite this as: BMJ 2009;338:b1603

Letters

Neurogenic bladder dysfunction

Bladder stimulation for neurogenic bladder

The first 150 words of the full text of this article appear below.

An important alternative to intermittent bladder catheterisationfor neurogenic bladder dysfunction is bladder stimulation.¹

Suprapubic bladder stimulation was evaluated at Queen’sSquare Hospital, London, in a prospective, but non-randomised,study in 36 patients.² The device improved the symptoms in 25patients and reduced the post-voiding residual from a mean of175 (SD 78) ml to 68 (32) ml. There were no complications andmost patients complied well. The authors concluded that suprapubicvibration is an effective means of emptying the neurogenic bladderand that the device may be a useful alternative to clean intermittentself catheterisation. The Queen’s Square Bladder Stimulator(Malem Medical) was introduced to clinical units and patientsin Australia in 1998 on the basis of the trial.

The effect of bladder stimulation can be evaluated in clinicalpractice using a within patient crossover trial—for example,comparing it with no treatment or intermittent catheterisation,or both, using residual . . . [Full text of this article]

Martin S Knapp, retired/part time nephrologist¹

¹ Melbourne, VIC 3079, Australia

knappm@optusnet.com.au

CiteULike

Complore

Connotea

Del.icio.us Add to Digg

Digg

StumbleUpon Add to Technorati

Technorati What's this?

Relevant Article

What is the most effective management of neurogenic bladder dysfunction?: Brian Buckley and Adrian M Grant
BMJ 2009 338: b659. [Extract] [Full Text]