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Sacral stimulation for neurogenic bladder outlet obstruction
Author(s) -
Talalla Andrew,
Bloom Joseph W.
Publication year - 1986
Publication title -
neurourology and urodynamics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 90
eISSN - 1520-6777
pISSN - 0733-2467
DOI - 10.1002/nau.1930050317
Subject(s) - medicine , urination , conus medullaris , stimulation , neurogenic bladder dysfunction , urinary bladder , pelvic floor , pudendal nerve , sacral nerve stimulation , spinal cord , urology , anatomy , surgery , urinary system , psychiatry
Abstract There are four anatomical sites at which functional electrical stimulation may be applied to the sacral neural outflow to achieve voiding of urine in patients with neurogenic bladder dysfunction: the micturition centres of the conus medullaris; the sacral anterior nerve roots; the mixed sacral nerves in their intraspinal, extradural course; and the pelvic nerves. This paper reviews the surgical and physiological advantages and disadvantages of each of these stimulation sites.