Intravesical transurethral bladder stimulation to increase bladder capacity

Intravesical transurethral bladder stimulation is a diagnostic and rehabilitative procedure that has been successful in initiating sensory-induced detrusor contractions. However, of greater significance has been the recognition that the process also will increase bladder capacity while maintaining low filling and leak pressures. Data are available on 88 patients. In 80 per cent of the children treated a greater than 50 per cent increase in bladder capacity was noted. We evaluated 46 patients who underwent long-term treatment. The beneficial effects on bladder capacity have been maintained. Exploration into whether this technique could be used, rather than augmentation procedures, is for future examination.