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Electrical stimulation for voiding dysfunction after spinal cord injury.

C Godec, A S Cass

    The Journal of Urology
    |January 1, 1979
    PubMed
    Summary
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    Functional electrical stimulation (FES) improved bladder control in patients with spinal cord injuries. Increased anal sphincter pressure during FES reliably predicted successful symptom relief for incontinence and urinary frequency.

    Area of Science:

    • Neuroscience
    • Urology
    • Rehabilitation Medicine

    Background:

    • Spinal cord injuries frequently cause urinary dysfunction, including incontinence and frequency.
    • Patients often present with a hyperreflexic bladder and/or pelvic floor weakness.
    • These symptoms significantly impact quality of life.

    Purpose of the Study:

    • To evaluate the efficacy of functional electrical stimulation (FES) in managing urinary dysfunction post-spinal cord injury.
    • To identify reliable criteria for patient selection for FES.

    Main Methods:

    • Retrospective analysis of 18 patients with spinal cord injuries and urinary symptoms.
    • Application of functional electrical stimulation (FES) in 11 patients.
    • Assessment of changes in maximum urethral pressure and anal sphincter pressure.

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    Main Results:

    • Functional electrical stimulation (FES) led to symptom relief or improvement in 9 out of 11 treated patients.
    • Increased anal sphincter pressure during FES was a more accurate predictor of treatment success than increased maximum urethral pressure.

    Conclusions:

    • Functional electrical stimulation (FES) is a promising therapeutic option for urinary incontinence and frequency after spinal cord injury.
    • Measuring anal sphincter pressure response to FES is crucial for patient selection and optimizing outcomes.