An implantable neuroprosthesis for restoring bladder and bowel control to patients with spinal cord injuries: A multicenter trial
| Autor: | James S. Walter, Hoi Sang U, Julie Grill, Mark A. Korsten, Graham H. Creasey, Rodney Anderson, Randall Betz |
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| Rok vydání: | 2001 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment media_common.quotation_subject Bowel management Physical Therapy Sports Therapy and Rehabilitation Urinary incontinence Prosthesis Design Urination Rhizotomy medicine Humans Fecal incontinence Prospective Studies Urinary Bladder Neurogenic Spinal cord injury Spinal Cord Injuries media_common Chi-Square Distribution Urinary bladder business.industry Rehabilitation Prostheses and Implants medicine.disease Electric Stimulation Electrodes Implanted Surgery Treatment Outcome medicine.anatomical_structure Patient Satisfaction Autonomic dysreflexia medicine.symptom business Constipation Fecal Incontinence |
| Zdroj: | Archives of Physical Medicine and Rehabilitation. 82:1512-1519 |
| ISSN: | 0003-9993 |
| DOI: | 10.1053/apmr.2001.25911 |
| Popis: | Creasey GH, Grill JH, Korsten M, U HS, Betz R, Anderson R, Walter J, for the Implanted Neuroprosthesis Research Group. An implantable neuroprosthesis for restoring bladder and bowel control to patients with spinal cord injuries: a multicenter trial. Arch Phys Med Rehabil 2001;82:1512-9. Objective: To evaluate the safety and efficacy of an implanted neuroprosthesis for management of the neurogenic bladder and bowel in individuals with spinal cord injury (SCI). Design: Prospective study comparing bladder and bowel control before and at 3, 6, and 12 months after implantation of the neuroprosthesis. Setting: Six US hospitals specializing in treatment of SCI. Patients: Twenty-three neurologically stable patients with complete suprasacral SCIs. Intervention: Implantation of an externally controlled neuroprosthesis for stimulating the sacral nerves and posterior sacral rhizotomy. Main Outcome Measures: Ability to urinate more than 200mL on demand and a resulting postvoid residual volume of less than 50mL. Results: At 1-year follow-up, 18 of 21 patients could urinate more than 200mL with the neuroprosthesis, and 15 of 21 had postvoid volumes less than 50mL (median, 15mL). Urinary tract infection, catheter use, reflex incontinence, anticholinergic drug use, and autonomic dysreflexia were substantially reduced. At 1-year follow-up, 15 of 17 patients reduced the time spent with bowel management. Conclusions: Neural stimulation and posterior rhizotomy is a safe and effective method of bladder and bowel management after suprasacral SCI. © 2001 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation |
| Databáze: | OpenAIRE |
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