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• W2417507978 abstract "No AccessJournal of Urology1 Jun 1994Selective Sacral Root Stimulation for Bladder Control: Acute Experiments in an Animal Model E.L. Koldewijn, N.J.M. Rijkhoff, Ph.E.V. Van Kerrebroeck, F.M.J. Debruyne, and H. Wijkstra E.L. KoldewijnE.L. Koldewijn More articles by this author , N.J.M. RijkhoffN.J.M. Rijkhoff More articles by this author , Ph.E.V. Van KerrebroeckPh.E.V. Van Kerrebroeck More articles by this author , F.M.J. DebruyneF.M.J. Debruyne More articles by this author , and H. WijkstraH. Wijkstra More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)35343-0AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail High bladder pressure is a potential side effect of poststimulus voiding, used to date for stimulation-induced bladder emptying in spinal cord injured patients. To prevent this side effect, selective activation of the bladder without activation of the urethral sphincter by selective stimulation of sacral roots was studied in a canine animal model. On-line registration of bladder, urethral and rectal pressure was performed, and EMG of tail muscles and urethral sphincter was recorded. After laminectomy, intradural left and right sacral root S2 were stimulated with a tripolar cuff electrode. A self-made stimulator generating adjustable pulse shapes was used. Using 200μsec. rectangular pulses, contraction of bladder and urethral sphincter could be elicited. Selective activation of the bladder occurred with pulses of 600 to 800μsec. due to anodal blocking of the large nerve fibers in the sacral roots. During acute animal experiments we were able to achieve selective activation of the detrusor without simultaneous activation of the external urethral sphincter, and complete, low-pressure voiding occurred. © 1994 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByBRAUN P, BOSCHERT J, BROSS S, SCHEEPE J, ALKEN P and JUENEMANN P (2018) TAILORED LAMINECTOMY: A NEW TECHNIQUE FOR NEUROMODULATOR IMPLANTATIONJournal of Urology, VOL. 162, NO. 5, (1607-1609), Online publication date: 1-Nov-1999.SHAKER H, TU L, ROBIN S, ARABI K, HASSOUNA M, SAWAN M and ELHILALI M (2018) REDUCTION OF BLADDER OUTLET RESISTANCE BY SELECTIVE SACRAL ROOT STIMULATION USING HIGH-FREQUENCY BLOCKADE IN DOGS: AN ACUTE STUDYJournal of Urology, VOL. 160, NO. 3 Part 1, (901-907), Online publication date: 1-Sep-1998.Rijkhoff N, Wijkstra H, Van Kerrebroeck P and Debruyne F (2018) Selective Detrusor Activation By Electrical Sacral Nerve Root Stimulation in Spinal Cord InjuryJournal of Urology, VOL. 157, NO. 4, (1504-1508), Online publication date: 1-Apr-1997. Volume 151Issue 6June 1994Page: 1674-1679 Advertisement Copyright & Permissions© 1994 by The American Urological Association Education and Research, Inc.Keywordsbladder, neurogenicspinal nerve rootselectric stimulationMetricsAuthor Information E.L. Koldewijn More articles by this author N.J.M. Rijkhoff More articles by this author Ph.E.V. Van Kerrebroeck More articles by this author F.M.J. Debruyne More articles by this author H. Wijkstra More articles by this author Expand All Advertisement Loading ..." @default.
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• W2417507978 title "Selective Sacral Root Stimulation for Bladder Control: Acute Experiments in an Animal Model" @default.
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