Bladder stimulation therapy to improve madder compliance: Results from multi-institutional trial

E. Y. Cheng*, I. Richards, W. E. Kaplan

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: We examined data from multiple institutions to determine whether intravesical bladder stimulation therapy is effective in improving bladder compliance. Materials and methods: The charts of 568 patients from 11 institutions were evaluated. 335 had adequate and accurate pre-treatment and posttreatment studies. A total of 155 patients were from Children's Memorial Hospital, while the remaining 180 were from 10 other institutions. Bladder capacity and bladder capacity pressure were determined for each patient before and after therapy. Results: Overall, 53% of patients had an increased bladder capacity 20% or greater after treatment (average increase 105cc), which represents an average 63% increase from pre-treatment values. In 90% of patients intravesical storage pressures were decreased or maintained within a safe range (less than 40 cm water). Evaluation of patients who did not respond to bladder stimulation with a 20% or greater increase in bladder capacity revealed that they had nearly normal bladder capacity before therapy. When the data on bladder capacity and bladder capacity pressure from the Children's Memorial Hospital were compared to results from the other 10 institutions, there were no appreciable differences. Conclusions: Bladder stimulation is effective in increasing bladder capacity without significantly elevating storage pressure in a majority of patients.

Original languageEnglish (US)
Number of pages1
JournalEuropean Journal of Pediatric Surgery, Supplement
Volume7
Issue number1
StatePublished - Dec 1 1997

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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