Detrusor inhibition induced by stimulation of pudendal nerve afferents

A critical analysis of therapeutic vesicoinhibitory electrical stimulation is presented based on a study of ten patients with suprasacral spinal cord lesions and detrusor hyperreflexia. The detrusor contraction was either completely abolished, or the threshold of the contraction significantly increased, with electrical stimulation delivered to the dorsal nerves of penis (or clitoris) via surface electrodes. A current strength of 0.09 to 3.5 times the bulbocavernosus reflex threshold was used.

[1]  D. Denny-Brown,et al.  THE STATE OF THE BLADDER AND ITS SPHINCTERS IN COMPLETE TRANSVERSE LESIONS OF THE SPINAL CORD AND CAUDA EQUINA , 1933 .

[2]  R. Ryall,et al.  Reflexes to sacral parasympathetic neurones concerned with micturition in the cat , 1969, The Journal of physiology.

[3]  C. Carlsson,et al.  Reconstruction of severed dorsal roots innervating the urinary bladder. An experimental study in cats. I. Studies on the normal afferent pathways in the pelvic and pudendal nerves. , 1972, Scandinavian journal of urology and nephrology.

[4]  G. Ayala,et al.  Bladder inhibition with functional electrical stimulation. , 1975, Urology.

[5]  Analgesic, heart rate, and temperature effects of delta8-THC during acute and chronic administration to conscious rats. , 1977, Pharmacology.

[6]  S. Plevnik,et al.  Urethral and bladder responses to anal electrical stimulation. , 1979, The Journal of urology.

[7]  D. Vodušek,et al.  The motor nerve supply of the external urethral sphincter muscles: An electrophysiologic study , 1983 .

[8]  S. Lindström,et al.  The neurophysiological basis of bladder inhibition in response to intravaginal electrical stimulation. , 1983, The Journal of urology.

[9]  E. McGuire,et al.  Treatment of motor and sensory detrusor instability by electrical stimulation. , 1983, The Journal of urology.

[10]  M. Nakamura,et al.  Bladder inhibition by penile electrical stimulation. , 1984, British journal of urology.

[11]  R. Vereecken,et al.  Electrical sphincter stimulation in the treatment of detrusor hyperreflexia of paraplegics , 1987 .