Cortical evoked potentials following stimulation of the urinary bladder in man

Badr, Gaby G.; Carlsson, Christina; Fall, Maouly; Friberg, Sten; Lindström, Lars; Ohlsson, B. L.

doi:10.1016/0013-4694(82)90034-7

Cited by 70 publications

(19 citation statements)

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“…The present study has addressed this unresolved issue and extended the observations of Badr et al (1982). In order to devise a method that was simple and capable of being applied routinely, it was important to confirm the validity of the monopolar stimulation technique.…”

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confidence: 79%

“…Among the various electrophysiological methods that have been investigated in order to evaluate the sensory afferents of the lower urinary tract are cortical potentials evoked by electrical stimulation of various peripheral urinary structures (Gerstenberg et al, 1981 ;Kaplan, 1981 ;Haldeman et al, 1982;Opsomer et al, 1986;Sarica and Karacan, 1988). In 1982, Badr et al demonstrated the existence of well defined cortical potentials evoked by electrical monopolar stimulation of the bladder wall. This was a promising step towards developing a neurophysiological test of the peripheral and central pathways responsible for sensations of bladder distension.…”

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confidence: 95%

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Urinary Bladder Cortical Evoked Potentials in Man: Suitable Stimulation Techniques

Deltenre

Thiry

1989

British Journal of Urology

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A practical and easily applicable method of recording cortical potentials evoked by bipolar electrical stimulation of the bladder wall is described. This constitutes an objective electrophysiological test of afferent bladder central projections. Comparison of bipolar and monopolar methods of intravesical stimulation led to the conclusion that the simpler monopolar intravesical electrode technique is unsuitable because it yields potentials contaminated by extravesical components.

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confidence: 79%

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confidence: 95%

Urinary Bladder Cortical Evoked Potentials in Man: Suitable Stimulation Techniques

Deltenre

Thiry

1989

British Journal of Urology

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“…In 1979, Mayo included EMG of the anal sphincter into the urodynamic assessment . The future steps in the development of this diagnostic method were marked by neural conductivity studies looking at sacral reflex pathways in 1970s and finally introduction of sensory and motor evoked potentials testing which was first published in 1982 …”

Section: Introductionmentioning

confidence: 99%

ICS Educational Module: Electromyography in the assessment and therapy of lower urinary tract dysfunction in adults

Krhút¹,

Zachoval²,

Shelly

et al. 2017

Neurourology and Urodynamics

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Aim: To present the teaching module "Electromyography in the assessment and therapy of lower urinary tract dysfunction in adults." This teaching module embodies a presentation, in combination with this manuscript. This manuscript serves as a scientific background review; the evidence base made available on ICS website to summarize current knowledge and recommendations. Methods: This review has been prepared by a Working Group of The ICS Urodynamics Committee. The methodology used included comprehensive literature review, consensus formation by the members of the Working Group, and review by members of the ICS Urodynamics Committee core panel. Results: Electromyography (EMG) is a method to record spontaneous or artificially induced electrical activity of the nerve-muscle unit or to test nerve conductivity. EMG of the anal sphincter using surface electrode is most widely used screening technique to detect detrusor-sphincter dyssynergia in urology. It is non-invasive and easy to perform.EMG methods using needle electrodes are reserved for diagnostics in well selected group of mainly neurogenic patients. These methods require expertise in the field of general EMG and are usually performed by neurologist and neuro-physiologist. The evidence in many aspects of use of EMG in urology remains sparse. Conclusions: Currently EMG methods rarely play a decision making role in selecting proper treatment of lower urinary tract dysfunction. With the current efforts to improve phenotyping of these patients in order to provide individualized treatment, the role of EMG could increase.

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“…Several neurophysiological tests are available, such as the bulbocavernosus reflex, which shows the functional status of afferent and efferent fibers in the pudendal nerve (Vignoli, 1978;Vereecken et al, 1981;Vodusek et al, 1983); the vesicoanal reflex, of which it is claimed to check the anatomical integrity of bladder and urethral afferents in the pelvic nerve and somatic efferents in the pudendal nerve (Bradley, 1972;Rockswold & Bradley, 1977;Vereecken et al, 1981); and somatosensory evoked potentials, with which bladder afferents in the pelvic, hypogastric and pudendal nerve and the subsequent ascending tracts to the cortex are thought to be tested (Badr et al, 1982(Badr et al, , 1984. However, these tests show a poor correlation with urodynamic findings in diabetic patients and seem, therefore, not reliable to determine causes for lower urinary tract dysfunction (Anten, 1989).…”

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confidence: 99%

Introduction to this Special Issue on Neurology

Kinder

1999

Archives of Physiology and Biochemistry

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Cortical evoked potentials following stimulation of the urinary bladder in man

Cited by 70 publications

References 4 publications

Urinary Bladder Cortical Evoked Potentials in Man: Suitable Stimulation Techniques

Urinary Bladder Cortical Evoked Potentials in Man: Suitable Stimulation Techniques

ICS Educational Module: Electromyography in the assessment and therapy of lower urinary tract dysfunction in adults

Introduction to this Special Issue on Neurology

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