Abstract
A miniaturised, totally integrated device intended for long-term treatment with electrical stimulation of female urinary incontinence has been designed. The device, which is moulded in epoxy resin, contains a hybrid circuit and a battery supply. The battery cells are recharged by constant current delivered to the stimulation electrodes by an external unit. The stimulation electrodes are band-shaped and made of stainless steel. The electric device has an oval cross-section to conform with the anatomy of the vagina, and is designed to be of minimum size while maintaining safe encapsulation of the electrical components. Electrical stimulation is applied as constant-voltage pulses of alternating polarity. The pulse repetition rates are selected to be 10, 50 or 20 Hz for the treatment of urge, stress or mixed urge-stress incontinence, respectively. The pulse duration is variable from 0·1 to 5ms, whereas the stimulation voltage amplitude is fixed. The stimulation is intermittent, lasting 10s and interrupted for 20s. The device should be recharged approximately once a week in normal use to maintain stimulation efficiency.
Similar content being viewed by others
References
Alexander, S., Rowan, D., Millar, W. andScott, R. (1970) Treatment of urinary incontinence by electric pessary. A report of 18 cases.Br. J. Urol.,42, 184–190.
Bergmann, S. andEriksen, B. C. (1986) Anal electrostimulation in urinary incontinence—technical description of a new device.Urol. Int.,41, 411–417.
Caldwell, K. P. S., Cook, P. J., Flack, F. C. andJames, E. D. (1968) Stress incontinence in females: report on 31 cases treated by electrical implant.J. Obstet. Gynaec. Br. Cwlth.,75, 777–780.
Collins, C. D. (1972) Observation on the effect of electrical stimulation.Proc. R. Soc. Med.,65, 832–833.
Collins, C. D. (1974) Intermittent electrical stimulation.Urol. Int.,29, 221–227.
Devanathan, D. andCarr, R. (1980) Polymeric conformal coatings for implantable electronic devices.IEEE Trans.,BME-27, 671–677.
Donaldson, P. E. K. (1976) The encapsulation of microelectronic devices for long-term surgical implantation.,BME-23, 281–285.
Doyle, P. T., Edwards, L. E., Harrison, N. W., Malvern, J. andStanton, S. L. (1974) Treatment of urinary incontinence by external stimulating devices.Urol. Int.,29, 450–457.
Erlandson, B.-E. andFall, M. (1977) Intravaginal electrical stimulation in urinary incontinence.Scand. J. Urol. Neph., Suppl. 44, 5–63.
Fall, M., Ahlström, K., Carlsson, C.-A., Ek, A., Erlandson, B.-E., Frankenberg, S. andMattiasson, A. (1986) Contelle—pelvic floor stimulation for stress-urge incontinence. A multicenter study.Urol.,27, (3).
Ko, W. H. andSpear, T. M. (1983) Packaging materials and techniques for implantable instrument.IEEE Eng. Med. & Biol., March, 27–38.
Lindström, S., Fall, M., Carlsson, C.-A. andErlandson, B.-E. (1983) The neurophysiological basis of bladder inhibition in response to intravaginal electrical stimulation.J. Urol.,129, 405–410.
Lindström, S., Fall, M., Carlsson, C.-A. andErlandson, B.-E. (1984) Rhythmic activity in pelvic efferents to the bladder: an experimental study in the cat with reference to the clinical condition ‘unstable bladder’.Urol. Int.,39, 272–279.
Ohlsson, B. andStemme, G. (1983) Helt Intern Elektrisk Stimulator för Behandling av Urininkontinens. Research report 62, Chalmers University of Technology, Göteborg, Sweden.
Ohlsson, B., Lindström, S., Erlandson, B.-E. andFall, M. (1986) Effects of some different pulse parameters on bladder inhibition and urethral closure during intravaginal electrical stimulation: an experimental study in the cat.Med. & Biol. Eng. & Comput.,24, 27–33.
Ohlsson, B. L. (1988) Effects of some different pulse parameters on the perception of intravaginal and intra-anal electrical stimulation.,26, 503–508.
Oliver, L. M., Blaivas, J. G., McGuire, E. J. andSusset, J. G. (1984) Functional vaginal electrical stimulation (FVES) for the treatment of frequency and incontinence in women. Am. Coll. Urologists, Urodynamics Society, UDS 6th Symp., New Orleans, USA.J. Urol.,131, 222A.
Plevnik, S., Vodusek, D. B., Vrtacnik, P. andJanez, J. (1985) Optimization of the pulse duration for vaginal and anal electric stimulation for urinary incontinence. Proc. 15th Ann. Meet., International Continence Society, London, 226–227.
Suhel, P., Rakovec, S., Kralj, B., Plevnik, S. andStatler, J. (1975) New system for the correction of urinary incontinence using FES. Proc. 5th Symp. on External Control of Human Extremities, ETAN, Dubrovnik, Yugoslavia.
Suhel, P., Kralj, B. andPlevnik, S. (1978) Advances in non-implantable electrical stimulators for correction of urinary incontinence.T-I-T J Life Sci.,8, 11–16.
Vodusek, D. B., Light, J. K. andLibby, J. M. (1986) Detrusor inhibition induced by stimulation of pudendal nerve afferents.Neurourol. Urodyn.,5, 381–389.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Ohlsson, B.L., Erlandson, B.E. Miniaturised device for long-term intravaginal electrical stimulation for the treatment of urinary incontinence. Med. Biol. Eng. Comput. 26, 509–515 (1988). https://doi.org/10.1007/BF02441919
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02441919