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Journal of Long-Term Effects of Medical Implants

ISSN Print: 1050-6934
ISSN Online: 1940-4379

Journal of Long-Term Effects of Medical Implants

DOI: 10.1615/JLongTermEffMedImplants.v12.i3.50
12 pages

Functional Electrical Stimulation of Bladder and Bowel in Spinal Cord Injury

Richard Edlich
Legacy Verified Level I Shock Trauma Center Pediatrics and Adults, Legacy Emanual Hospital; and Plastic Surgery, Biomedical Engineering and Emergency Medicine, University of Virginia Health System, USA
William D. Steers
J. Y. Gillenwater Professor of Urology; Chairman, Department of Urology. University of Virginia Health System P.O. Box 800422 Charlottesville VA 22908
Tyler C. Wind
Plastic Surgical Research Program, University of Virginia Health System, Charlottesville, Virginia

ABSTRACT

The purpose of this collective review is to examine the use of functional electrical stimulation for incontinence. The Finetech-Brindley bladder system enhances voiding through stimulation via electrodes implanted around the ventral sacral roots. Detrusor hyperreflexia is eliminated through complete dorsal rhizotomy, which results in loss of reflex defecation and reflex erection/reflex lubrication. Consequently, a new system is being devised in which functional electrical stimulation for incontinence in spinal cord injury can be achieved without dorsal rhizotomy.