Urinary bladder control by electrical stimulation: Review of electrical stimulation techniques in spinal cord injury

Rijkhoff, Nico; Wijkstra, Hessel; Kerrebroeck, Philip E. V. A. Van; Debruyne, F.M.J.

doi:10.1002/(sici)1520-6777(1997)16:1<39::aid-nau6>3.0.co;2-f

Cited by 74 publications

(42 citation statements)

References 60 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This high urethral resistance occurs when bladder contractions cause a reflex contraction of the urethral sphincters [1][2][3]. This resistance is a problem with direct bladder stimulation [7][8]. In addition, current spread with direct bladder stimulation can stimulate the pudendal nerve to cause urethral closure [7][8].…”

Section: Discussionmentioning

confidence: 99%

“…This resistance is a problem with direct bladder stimulation [7][8]. In addition, current spread with direct bladder stimulation can stimulate the pudendal nerve to cause urethral closure [7][8]. This adverse effect from the pudendal nerve could occur in several ways, e.g., direct activation of motor fibers and/or sensory fiber stimulation with reflex motor nerve activation.…”

Section: Discussionmentioning

confidence: 99%

“…However, this method includes invasive spinal surgery and a sacral nerve afferent neurectomy. Alternatively, direct bladder stimulation with electrodes implanted near the pelvic plexus nerves and bladder wall has been investigated [7][8].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Effective methods of pelvic plexus nerve and bladder stimulation in anesthetized animal model

Bresler

Walter²,

Jahoda³

et al. 2008

JRRD

View full text Add to dashboard Cite

Abstract-Urinary retention is a serious urological problem associated with spinal cord injuries (SCIs) and other pelvic disorders. Effective methods of pelvic nerve stimulation were investigated for this problem. Following anesthesia in five dogs, the bladder was surgically exposed. Bladder and anal sphincter pressures were recorded. Testing was first conducted with probe electrodes. Barb electrodes were then implanted with a needle near the pelvic plexus nerves and the bladder wall. We tested different electrode arrangements and stimulating parameters to induce bladder contractions without skeletal muscle stimulation. The pelvic plexus nerves near the bladder were identified, and the barb electrodes were effectively implanted. Stimulation with bipolar and bilateral electrodes induced pressures over 30 cmH 2 O without skeletal muscle activation. Common stimulation parameters were 40 pps, 400 microseconds pulse duration, and 15 to 25 mA stimulating current applied for 3 s. Effective electrode implantation methods were shown. Also identified were electrode arrangements and stimulating parameters that induced strong bladder contractions without skeletal muscle activation. However, voiding studies were not conducted. Further studies with barb electrodes are warranted, and these methods may have applications for bladder stimulation following SCI.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Effective methods of pelvic plexus nerve and bladder stimulation in anesthetized animal model

Bresler

Walter²,

Jahoda³

et al. 2008

JRRD

View full text Add to dashboard Cite

show abstract

“…Many review articles have been published that focus on devices for bladder control (Schmidt, 1983;Talalla et al, 1987;Lee, 1997;Rijkhoff et al, 1997b;Grill et al, 2001;Groen and Bosch, 2001;Jamil, 2001;Jezernik et al, 2002;Van Kerrebroeck, 2002;Middleton and Keast, 2004;Rijkhoff, 2004b;van Balken et al, 2004), so no attempt will be made to provide detailed descriptions of each of these methods here. Rather, we will summarize the methods that have been devised over the years for device-based management of the neurogenic bladder secondary to spinal cord injury and summarize current research on those devices and methods that are likely to affect the field in the future.…”

Section: Why Devices?mentioning

confidence: 99%

Control of urinary bladder function with devices: successes and failures

Gaunt

Procházka

2006

Progress in Brain Research

View full text Add to dashboard Cite

“…Among the affected organs, the urinary bladder, where the patient is unable to voluntarily evacuate the urine from his filling bladder, and he often suffers from many urinary bladder complications related to the detrusor hyperreflexia [1]- [3]. Many attempts have been made to recover voluntary control of the micturtion reflex by means of electrical stimulation at different sites of the urinary system [4]. More recently, neurostimulation and neuromodulation of the sacral nerve root seems to be one of the most promising options to enhance voiding and suppress detrusor hyperreflexia.…”

Section: Introductionmentioning

confidence: 99%

New stimulation strategy to improve the bladder function in paraplegics: chronic experiments in dogs

Schneider

Abdel-Karim²,

Elhilali³

2001 Conference Proceedings of the 23rd Annual International Conference of the IEEE Engineering in Medicine and Biology Society

View full text Add to dashboard Cite

-New neural electrical stimulation strategy, intended to recover the bladder functions, is proposed. Restoring urinary functions allows voluntary bladder voiding, and reduces or even suppresses hyperreflexia. The preliminary stimulation system is composed of subcutaneous implantable stimulators (an implant) and an external device. The implant includes the selective stimulation for bladder voiding, in addition to a new permanent stimulation technique to reduce (or cancel) the bladder hyperreflexia and so cures other related diseases. Permanent stimulation is a low frequency, low amplitude and all day long stimulation that needs to be battery powered. On the other hand, selective stimulation is a bi-frequency, punctual, precise and at a higher amplitude stimulation that is well controlled and powered from the outside. Eight prototypes of the stimulator have been used in an experimental evaluation in dogs to characterize the reliability and functionality of the new implant in a real application environment. Preliminary results of the study show that the proposed stimulation system and the stimulation strategy provide significant improvement for bladder hyperreflexia curing while it confirmed the efficiency of the selective stimulation by means of high frequency blockage.

show abstract

Urinary bladder control by electrical stimulation: Review of electrical stimulation techniques in spinal cord injury

Cited by 74 publications

References 60 publications

Effective methods of pelvic plexus nerve and bladder stimulation in anesthetized animal model

Effective methods of pelvic plexus nerve and bladder stimulation in anesthetized animal model

Control of urinary bladder function with devices: successes and failures

New stimulation strategy to improve the bladder function in paraplegics: chronic experiments in dogs

Contact Info

Product

Resources

About