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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
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.