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Urethral and bladder responses to anal electrical stimulation.

J Janez, S Plevnik, P Suhel

    The Journal of Urology
    |August 1, 1979
    PubMed
    Summary

    Anal electrical stimulation can modulate bladder and urethral function. In half of patients with urinary dysfunction, it caused normal bladder inhibition and urethral contraction, while others showed varied responses.

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    Area of Science:

    • Urology
    • Neuroscience
    • Physiology

    Background:

    • Urethral and bladder dysfunctions impact patient quality of life.
    • Understanding neural control of lower urinary tract is crucial for treatment.
    • Anal electrical stimulation is a potential neuromodulation technique.

    Purpose of the Study:

    • To investigate the effects of anal electrical stimulation on urethral and bladder function.
    • To characterize the responses in patients with various urethral-bladder dysfunctions.

    Main Methods:

    • Cystometry and urethral pressure profile measurements were used.
    • 55 patients with different urethral-bladder dysfunctions were included.
    • Anal electrical stimulation was applied.

    Main Results:

    • A normal reciprocal response (bladder inhibition with urethral contraction) was observed in 50% of patients.
    • The remaining patients exhibited diverse and varied urethral and bladder responses.
    • Responses varied significantly across the patient cohort.

    Conclusions:

    • Anal electrical stimulation elicits variable responses in patients with urethral-bladder dysfunctions.
    • The technique shows potential for neuromodulation but requires further investigation for specific patient groups.
    • Individualized treatment approaches may be necessary based on response patterns.

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