International Journal of Physical Medicine & Rehabilitation
Open Access
ISSN: 2329-9096
ISSN: 2329-9096
John Wheeler
Tanzania
Review Article
Neuroprosthetics for SCI Bladder Management: The Argument for Direct Bladder Stimulation
Author(s): James S. Walter, John Wheeler, Larissa Bresler, Scott Sayers and R. Sanjay SinghJames S. Walter, John Wheeler, Larissa Bresler, Scott Sayers and R. Sanjay Singh
Implantable neuroprosthetic systems are an important area of practice and research in urinary care for individuals with spinal cord injury (SCI). These devices need to manage three lower urinary tract conditions: urethral sphincter contractions during bladder contractions, an underactive bladder producing poor voiding responses, and neurogenic detrusor overactivity causing urinary incontinence. Two neuroprosthetic approaches have addressed these conditions: sacral anterior root stimulation (SARS) and direct bladder wall stimulation (DBWS). The SARS approach is commercialized for SCI bladder management as the Brindley-Finetech Bladder Control System and is available in Europe. Limitations of this device include invasive surgery and the need for rhizotomy of sacral dorsal (sensory) nerve roots. The DBWS implants produced daily voiding in many SCI individuals, however, c.. View More»
DOI:
10.4172/2329-9096.1000230