Medical or surgical augmentation of bladder drill for detrusor instability

SummaryThis study was designed to assess, objectively, the possible augmentation of inpatient bladder drill with either terodiline administration or maximum bladder distension under general anaesthesia for detrusor instability. Fifty-three patients were allocated at random to three groups. Seventy-two per cent of patients treated with terodiline and bladder drill showed evidence of subjective and cystometric improvement after 6 weeks. Maximum bladder distension under general anaesthesia followed by bladder drill was effective in 64 per cent of cases. Inpatient bladder drill without any adjunctive treatment was successful in only 21 per cent of patients, according to cystometric findings.