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Pelvic Floor Stimulation: Effect on Detrusor Activity

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Urodynamics and the Evaluation of Female Incontinence

Abstract

Electrical stimulation of the pelvic muscles has been used for over 25 years to control detrusor overactivity and genuine stress incontinence. From studies in cats, it is believed that the mechanism of detrusor inhibition is through reflex inhibition of the pelvic nerve after stimulating afferently along the pudendal nerve. This mechanism takes advantage of the vesicoinhibitory reflexes which allow one to stop a bladder contraction at the end of micturition by contracting the periurethral skeletal muscle. Transvaginal and transanal electrical stimulation has been reported to be successful in improving or curing detrusor overactivity in up to 90% of patients.

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© 1995 Springer-Verlag London Limited

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Sand, P.K., Ostergard, D.R. (1995). Pelvic Floor Stimulation: Effect on Detrusor Activity. In: Urodynamics and the Evaluation of Female Incontinence. Springer, London. https://doi.org/10.1007/978-1-4471-2109-1_39

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  • DOI: https://doi.org/10.1007/978-1-4471-2109-1_39

  • Publisher Name: Springer, London

  • Print ISBN: 978-3-540-19904-5

  • Online ISBN: 978-1-4471-2109-1

  • eBook Packages: Springer Book Archive

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