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Electrical stimulation for the treatment of bladder disfunction: current status and future possibilitiesJezernik, Sašo ...Electrical stimulation of peripheral nerves can be used to cause muscle contraction, to activate reflexes, and to modulate some functions of the central nervous system (neuromodulation). If applied ... to the spinal cord or nerves controlling the lower urinary tract, electrical stimulation can produce bladder or sphincter contraction, produce micturition, and can be applied as a medical treatment in cases of incontinence and urinary retention. This article first reviews the history of electrical stimulation applied for treatment of bladder dvsfunction and then focuses on the implantable Finetech-Brindley stimulator to produce bladder emptying, and on external and implantable neuromodulation systems for treatment of incontinence. We conclude by summarizing some recent research efforts including: (a) combined sacral posterior and anterior sacral root stimulator implant (SPARSI), (b) selective stimulation of nerve fibers for selective detrusor activation by sacral ventral root stimulation, (c) microstimulation of the spinal cord, and (d) a newly proposed closed-loop bladder neuroprosthesis to treat incontinence caused by bladder overactivity.Source: Neurological research. - ISSN 0161-6412 (Vol. 24, Jul. 2002, str. 413-430)Type of material - article, component partPublish date - 2002Language - englishCOBISS.SI-ID - 7299606
Author
Jezernik, Sašo |
Craggs, Michael |
Grill, Warren M. |
Creasey, Graham |
Rijkhoff, Nico J.M.
Topics
električna stimulacija |
FES |
funkcionalna električna stimulacija |
inkontinenca |
electrical stimulation |
incontinence |
neuromodulation |
neurogenic bladder |
neural prosthesis |
FES |
functional electrical stimulation
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