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Micturition and the sacral reflex arc: lessons from electrophysiological techniques
Vodušek, David B.
Electrophysiologica! techniques applied either for diagnostic or therapeutic reasons have contributed to elucidation of the neurocontrol of micturition. But the ability of electrophysiological ...diagnostic tests to reveal neurogenic involvement in patients suffering from lower urinary tract dysfunction is limited, and has been overestimated. Furthermore, the correlation between a provsn neurogenic deficit and the consecutive dysfunction is complex. The electrophysiological tests, however, may also be applied for testing the central nervous system integrative function, such as in testing reflex thresholds, excitability Ievels of motpr nuclei, etc. The use of electrical stimulation for therapeutic purposes has instigated much physiological research. lnsights related to micturition neurocontrol, as for instance that afferent inputs from lumbosacral and vesical sensory fibres modulate the micturition threshold, are being therapeutically exploited. It is expected that further use of eiectrophysiological techniques, being complernentary to functional neuroimaging, will clarify particularly the temporal aspects of neurocorttrol mechanisms involved in micturition.
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