The risk of bladder denervation during antireflux surgery: a reliable neurophysiological model

Seif, C.; Braun, P.; Martinez, Porillo Francisco; Herberger, Björgulf; Boehler, Georg; Leißner, Joachim; Juenemann, Klaus‐Peter; Hohenfellner, R.

doi:10.1016/s1569-9056(02)80753-9

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2004

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“…Having proved experimentally that detrusor innervation is strictly unilateral, we believe that bilateral stimulation enhances the desired neuromodulation effect (21). The improved response after bilateral sacral neuromodulation might therefore be explained as a summation of the stimulated, relevant nerve fibers of both sides.…”

Section: Discussionmentioning

confidence: 90%

Findings with Bilateral Sacral Neurostimulation: Sixty-two PNE-Tests in Patients with Neurogenic and Idiopathic Bladder Dysfunctions

Seif

Eckermann

Bross

et al. 2004

Neuromodulation: Technology at the Neural Interface

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Section: Discussionmentioning

confidence: 90%

Findings with Bilateral Sacral Neurostimulation: Sixty-two PNE-Tests in Patients with Neurogenic and Idiopathic Bladder Dysfunctions

Seif

Eckermann

Bross

et al. 2004

Neuromodulation: Technology at the Neural Interface

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“…Nachdem experimentell nachgewiesen werden konnte, dass der Detrusor streng seitengetrennt innerviert ist, muss man unserer Meinung nach davon ausgehen, dass eine bilaterale Stimulation den gewünschten Effekt der Neuromodulation verstärkt [20]. Die verbesserten Ergebnisse nach bilateraler Neuromodulation sind Abb.…”

Section: Schlussfolgerungunclassified

Klinische Ergebnisse nach 70 bilateralen peripheren Nerven-Evaluationstests (PNE-Test) bei Patienten mit Harnblasendysfunktionen

Eckermann²,

Bross³

et al. 2003

Aktuel Urol

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Bilateral PNE-test stimulation and the use of advanced PNE electrodes (model 3057, Medtronic Inc., USA) led to a positive PNE result in 51.6 % of the tested patients. Of these, the group with neurogenic bladder dysfunctions showed the highest response rate. Compared with the success rates in the multicenter study, we were able to increase the overall PNE response rate significantly. For this reason, we prefer a bilateral PNE-test with side-specific stimulation.

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The risk of bladder denervation during antireflux surgery: a reliable neurophysiological model

Cited by 2 publications

References 0 publications

Findings with Bilateral Sacral Neurostimulation: Sixty-two PNE-Tests in Patients with Neurogenic and Idiopathic Bladder Dysfunctions

Findings with Bilateral Sacral Neurostimulation: Sixty-two PNE-Tests in Patients with Neurogenic and Idiopathic Bladder Dysfunctions

Klinische Ergebnisse nach 70 bilateralen peripheren Nerven-Evaluationstests (PNE-Test) bei Patienten mit Harnblasendysfunktionen

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