Clinical efficacy of bladder function training combined with pelvic floor biofeedback electrical stimulation on neurogenic bladder and its impact on urodynamics

Pak J Med Sci, 2025 · DOI: https://doi.org/10.12669/pjms.41.1.9655 · Published: January 1, 2025

Simple Explanation

Neurogenic bladder is a common complication after central nervous system injury that can lead to risks such as urinary tract infection and renal failure, impacting patients’ quality of life. Clinical treatment methods include drug therapy, rehabilitation therapy, and neuromodulation techniques; bladder function training aims to increase bladder capacity and improve bladder function. Pelvic floor biofeedback electrical stimulation (PES) enhances patient participation in pelvic floor muscle training, improving bladder function.

Study Duration

12 Months

Participants

120 patients with neurogenic bladder after spinal cord injury

Evidence Level

Clinical comparative study

Key Findings

1
Bladder function training combined with pelvic floor biofeedback electrical stimulation showed a significantly higher response rate compared to conventional treatment and bladder function training alone (82% vs 62%).
2
The study group experienced significant improvements in daily mean voiding frequency, daily mean single urine volume, daily maximum single urine volume, and catheterization frequency compared to the control group.
3
The study group had significantly lower residual urine volume and higher maximum bladder capacity, maximum flow rate, and bladder pressure than the control group.

Research Summary

This study evaluated the clinical efficacy of bladder function training combined with pelvic floor biofeedback electrical stimulation in treating neurogenic bladder after spinal cord injury. The study found that the combination therapy significantly improved storage and voiding functions, alleviated lower urinary tract symptoms, and enhanced patients’ quality of life compared to conventional treatment and bladder function training alone. The findings suggest that bladder function training combined with pelvic floor biofeedback electrical stimulation is worthy of clinical application for neurogenic bladder.

Practical Implications

Clinical Practice

The combination therapy can be integrated into clinical practice for managing neurogenic bladder after spinal cord injury.

Patient Outcomes

Patients with neurogenic bladder can experience improved bladder control, reduced urinary symptoms, and enhanced quality of life through this combined approach.

Rehabilitation Strategies

Rehabilitation programs can be enhanced by incorporating pelvic floor biofeedback electrical stimulation alongside traditional bladder function training.

Study Limitations

1
Small sample size
2
Lack of grouping studies based on different causes of neurogenic bladder
3
Need for increased sample size, longer follow-up, and refined study design in future research

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