Application of epidural electrostimulation to treat bladder dysfunction in patients with consequences of traumatic injury of lumbar and sacral segments of the spinal cord
Keywords:spinal cord injury, bladder dysfunction, restorative treatment
Background. Bladder dysfunction is one of the most frequent and severe clinical manifestations of traumatic disease of the spinal cord, which causes chronic inflammatory processes in the urinary tract and impairs the quality of life of a patient.
Methods. The results of correction of bladder dysfunction after epidural electrostimulation in 69 patients with consequences of spinal cord injury of lumbar and sacral segments of the spinal cord are presented. The degree of urination control was evaluated (none, partial, complete) before and after applied treatment.
Results: in group A partial urination control was achieved in 45% of patients, in group B — in 61.5%, in 1 (7.7%) patient bladder control function restored completely. In group C a positive result in restoration of bladder function was achieved in 89.6% of patients, in group D — in all patients. It was incontinentia vera, at which we achieved best results of correction, 90.5% of patients showed positive results.
Conclusions. Epidural electrostimulation is an effective method of correction of bladder dysfunction in patients with consequences of traumatic injury of spinal cord lumbar and sacral segments.
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