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Intravesical Electrostimulation (IVES)

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Neurourology

Abstract

IVES differs from all other electric stimulation methods in the direct administration of various types of interrupted DC current directly to the sensory input of the bladder, to its intramural receptor, and the afferent transport system to the brain in a non-invasive way. Its aim is to reactivate the normal physiologic control of the bladder by the patient. This is the reason why it cannot be applied in complete trans-section of the spinal cord. The pressure receptors of the bladder are the sensory ‘organs’ which transform electricity to a bioelectric stimulus and propagate it through afferent sensory axons to the central nervous system. The fact that, in a significant number of patients, eventually, IVES can activate the urge to void proves that even the cortex is affected and that selective conscious voluntary bladder control can be reached. This is the ultimate goal of the therapy.

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Author information

Authors and Affiliations

  1. Department of Urology, University Hospital, Innsbruck, Austria

    Helmut Madersbacher

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  1. Helmut Madersbacher
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Correspondence to Helmut Madersbacher .

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Editors and Affiliations

  1. Department of Urology, China Rehabiliation Research Center Capital Medical University, Beijing, China

    Limin Liao

  2. Department of Urology, University Hospital, Innsbruck, Austria

    Helmut Madersbacher

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Madersbacher, H. (2019). Intravesical Electrostimulation (IVES). In: Liao, L., Madersbacher, H. (eds) Neurourology. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-7509-0_31

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  • DOI: https://doi.org/10.1007/978-94-017-7509-0_31

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  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-017-7507-6

  • Online ISBN: 978-94-017-7509-0

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