Electrical pelvic floor stimulation for the control of detrusor instability

Abstract

Experimental and clinical investigations have shown that pelvic floor electrical stimulation activates the striated paraurethral musculature and evokes inhibitory segmental reflexes with abolition of bladder hyperactivity. In the early clinical series, the methods were designed for stress incontinence but urge symptoms have later turned out to be the main indication for electrostimulation. The current clinical results of electrostimulation in detrusor instability are good. Electrostimulation seems to be one of the best options for detrusor instability alone or in combination with stress incontinence.