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      Increasing bladder capacity by foot stimulation in rats with spinal cord injuries

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          Abstract

          Background

          This study was to explore the possibility that foot stimulation increased bladder capacity(BC) in rats with neurogenic bladder secondary to T10 spinal cord injuries.

          Methods

          In 20 awake rats (stimulation group) with T10 spinal cord injuries, 5 repeat cystometrograms (CMGs) were recorded. The 1st and 2nd CMGs were performed without stimulation. The 3rd, 4th, and 5th CMGs were done separately with 1 T, 2 T, and 4 T stimulation, respectively, through a pair of pad electrodes on the skin of the hind foot. In the control group of 20 rats, 5 repeat CMGs were recorded without foot stimulation. The threshold (T) was the minimal stimulation intensity to induce an observable toe twitch.

          Results

          In the stimulation group, foot stimulation with 2 T significantly increased the BC an additional 68.9% ± 20.82% ( p < 0.05). Foot stimulation with 4 T increased the BC an additional 120.9% ± 24.82% ( p < 0.05). Compared with the control group, BC in the 1st, 2nd, and 3rd (1 T) CMG had no significant difference in the stimulation group, but the 4th (2 T) and 5th (4 T) CMGs were significantly increased (p < 0.05).

          Conclusions

          Electrical stimulation of the foot was effective in inhibiting reflex bladder activity and increasing bladder capacity in spinal cord injury rats.

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          Most cited references12

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          Early sacral neuromodulation prevents urinary incontinence after complete spinal cord injury.

          The study aim was to investigate potential influences on human nerves and pelvic organs through early implantation of bilateral sacral nerve modulators (SNMs) in complete spinal cord injury (SCI) patients during the acute bladder-areflexia phase.
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            Tibial Nerve Stimulation for Treating Neurogenic Lower Urinary Tract Dysfunction: A Systematic Review.

            Tibial nerve stimulation (TNS) is a promising therapy for non-neurogenic lower urinary tract dysfunction and might also be a valuable option for patients with an underlying neurological disorder.
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              Evaluation and Management of Neurogenic Bladder: What Is New in China?

              Limin Liao (2015)
              Neurogenic bladder (NB) or neurogenic lower urinary tract dysfunction (NLUTD), a dysfunction of the urinary bladder and urethra due to disease of the central nervous system or peripheral nerves, is a major global medical and social problem. Numerous nervous system abnormalities, such as: stroke, Alzheimer’s and Parkinson’s diseases, traumatic spinal cord injury, spinal cord tumors, congenital spina bifida, and diabetes, can cause NB/NLUTD. There are two major types of bladder control problems associated with NB/NLUTD: the bladder becomes either overactive or underactive depending on the nature, level, and extent of nerve damage. This review specifically focuses on the diagnosis and management of NB/NLUTD in China as well as on recent efforts to treat this disease.
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                Author and article information

                Contributors
                cgq_2000@126.com
                +86 10 87569043 , lmliao@263.net
                crrcwzx@163.com
                lxcpums@126.com
                wsduwenjuan@163.com
                Journal
                BMC Urol
                BMC Urol
                BMC Urology
                BioMed Central (London )
                1471-2490
                15 September 2017
                15 September 2017
                2017
                : 17
                : 85
                Affiliations
                [1 ]ISNI 0000 0004 1800 0172, GRID grid.418535.e, Department of Urology, China Rehabilitation Research Center, ; Beijing, 100068 China
                [2 ]ISNI 0000 0004 0369 153X, GRID grid.24696.3f, Department of Urology, , Capital Medical University, ; Beijing, China
                Article
                277
                10.1186/s12894-017-0277-4
                5602939
                28915880
                5fa8d7c8-8da5-4ffa-aefe-6e123ae81e4a
                © The Author(s). 2017

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 29 June 2017
                : 5 September 2017
                Categories
                Research Article
                Custom metadata
                © The Author(s) 2017

                Urology
                foot stimulation,spinal cord injury,rat,cystometrogram,bladder capacity
                Urology
                foot stimulation, spinal cord injury, rat, cystometrogram, bladder capacity

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