Urodynamic evaluation: periurethral striated EMG versus perianal striated EMG

Perkash, Inder

doi:10.1038/sc.1980.48

Cited by 13 publications

(7 citation statements)

References 9 publications

(7 reference statements)

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“…Anal sphincter activity registration, as an indirect measurement of urethral sphincteric function, has been used widely but it has been shown that in some cases there exists a difference (Perkash, 1980, Koyanagi et at., 1982. In this work anal sphincter activity was helpful in planning the mode of surgical treat ment for outlet obstruction.…”

Section: Discussionmentioning

confidence: 99%

Cystometrographic patterns in predicting bladder function after spinal cord injury

Ruutu

1985

Spinal Cord

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The cystometrographic patterns together with anal sphincter electromyograms of 62 patients with recent spinal cord injury were analysed. Four main patterns could be distinguished. The patients with well-developed detrusor reflex gained easy emptying of the bladder significantly more often than those with supranuclear injury but weak or unsustained detrusor contractions, or those with mixed spinal lesions. The patients with mixed lesions and low compliance bladders had the most severe incontinence problems. One fourth of the total series had various degrees of upper tract dilatation in their first urogram, and these changes occurred more often in patients with high detrusor activity. Urinary tract infections occurred in all patients but less often in those with areflexic bladders. This group of patients was also most suitable for intermittent selj-catheterisation.

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Section: Discussionmentioning

confidence: 99%

Cystometrographic patterns in predicting bladder function after spinal cord injury

Ruutu

1985

Spinal Cord

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“…Also, a study in incomplete spinal cord injury, using surface anal sphincter EMG signals and the pudendo‐anal reflex, has demonstrated increasing activity with bladder filling . However, it is uncertain as to whether there would always be uniform synergy of responses in the anal and urethral sphincters as it has been shown that in only about 70% of patients with SCI was the anal sphincter EMG diagnostic of urodynamic abnormality as against 90% for the urethral sphincter . Ideally, confirmation through direct recordings from the urethral sphincter of the results obtained here may be required before confidently extrapolating the findings to the influence of corticospinal drive on the urethral sphincter.…”

Section: Discussionmentioning

confidence: 81%

The interaction of cortico-spinal pathways and sacral sphincter reflexes in subjects with incomplete spinal cord injury: A pilot study

Vásquez

Balasubramaniam

Kuppuswamy

et al. 2014

Neurourol. Urodynam.

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“…These problems become less significant with increasing severity of neuro pathology, so that while with incomplete lesions a random-EMG of the pelvic floor is sufficient to document the activity of the external sphincter, in incomplete lesions of any aetiology a separate evaluation of the peri urethral striated EMG and anal sphincter EMG is advisable (Vereecken and Verduyn, 1970;Perkash, 1980). Uroflowometry and pressure profiles (Sunder et al, 1978;Clarke and Thomas, 1981), as single investigations are useful to understand the underlying pathophysiology but are of limited diagnostic clinical value for paraplegics.…”

Section: Discussionmentioning

confidence: 99%

Urodynamic practice in neuro-urological patients: techniques and clinical value

Madersbacher

Dietl

1984

Spinal Cord

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Summary. During the last decade a variety of urodynamic techniques have been developed.Despite this there is a tendency to be somewhat inflexible in the application of urodynamics; as soon as the investigator becomes familiar with one method he tends to use it for all his urodynamic evaluations.A short survey gives information about the most popular urodynamic methods with their combinations, as well as their clinical value for paraplegics. The type and number of urodynamic techniques used at the Rehabilitation Centre BadHaring during the last 6 years demonstrate that extensive facilities are desirable.This gives the flexibility to choose the proper technique, giving maximal informa tion for the individual patient with minimal costs.The combination of cystometry with X-ray videography (the simplest form of videourodynamics), is the most frequent method used, whereas the time consuming combined pressure-flow-EMG-X-ray-video-studies are only used for special indications (approximately 10 per cent of all our urodynamic studies).In order to obtain information of clinical value sometimes a compromise is necessary in order to find the method somewhere between what we would like to measure and the disturbance caused to the patient.

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Urodynamic evaluation: periurethral striated EMG versus perianal striated EMG

Cited by 13 publications

References 9 publications

Cystometrographic patterns in predicting bladder function after spinal cord injury

Cystometrographic patterns in predicting bladder function after spinal cord injury

The interaction of cortico-spinal pathways and sacral sphincter reflexes in subjects with incomplete spinal cord injury: A pilot study

Urodynamic practice in neuro-urological patients: techniques and clinical value

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