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Related Experiment Video

Updated: May 1, 2026

Breathing-controlled Electrical Stimulation BreEStim for Management of Neuropathic Pain and Spasticity
11:34

Breathing-controlled Electrical Stimulation BreEStim for Management of Neuropathic Pain and Spasticity

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Short-term maximal electrical stimulation for urinary retention.

S Plevnik, G Homan, P Vrtacnik

    Urology
    |November 1, 1984
    PubMed
    Summary

    Maximal electrical stimulation (MES) of pelvic floor muscles helped most patients with spinal cord injuries regain bladder control. This treatment led to sustained reflex micturition and reduced bladder hyperactivity for up to 14 months.

    Area of Science:

    • Neuroscience
    • Urology
    • Rehabilitation Medicine

    Background:

    • Spinal cord lesions can cause urinary retention and bladder dysfunction.
    • Managing neurogenic bladder in spinal cord injury (SCI) patients presents significant challenges.

    Purpose of the Study:

    • To evaluate the efficacy of short-term maximal electrical stimulation (MES) for treating urinary retention in SCI patients.
    • To assess the long-term effects of MES on bladder function and control.

    Main Methods:

    • Six patients with spinal cord lesions (C5-T4) and urinary retention were enrolled.
    • Short-term maximal electrical stimulation (MES) of pelvic floor muscles was applied.
    • Urodynamic examinations were performed to assess bladder and sphincter function.

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    Last Updated: May 1, 2026

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    Main Results:

    • Five out of six patients achieved the ability to provoke reflex micturition post-MES.
    • This reflex micturition was sustained for 8 to 14 months in the successful cases.
    • Urodynamic findings indicated prolonged inhibition of bladder hyperactivity and sphincter overactivity.

    Conclusions:

    • Short-term MES is a promising therapeutic option for SCI patients with neurogenic bladder dysfunction.
    • MES can lead to significant and lasting improvements in bladder control and detrusor-sphincter coordination.
    • Further research with larger cohorts is warranted to confirm these findings.