Effect of spinal anterior root stimulation and sacral deafferentation on bladder and sexual dysfunction in spinal cord injury
| Autor: | Franko Zepke, Johannes Kutzenberger, Charlotte Rosenkrantz Bodin, Burkhard Domurath, Mikkel Mylius Rasmussen, Hamed Zaer |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male 030506 rehabilitation medicine.medical_specialty Sacrum Nerve root Neurogenic bladder Visual analogue scale Bladder rehabilitation Electric Stimulation Therapy Spinal cord injury 03 medical and health sciences 0302 clinical medicine Spinal deafferentation Medicine Humans Urinary Bladder Neurogenic Spinal Cord Injuries medicine.diagnostic_test business.industry Spinal anterior root stimulation Interventional radiology Middle Aged medicine.disease Sexual Dysfunction Physiological Sexual dysfunction Anesthesia Cohort Surgery Female Neurology (clinical) Neurosurgery medicine.symptom 0305 other medical science business Spinal Nerve Roots 030217 neurology & neurosurgery |
| Zdroj: | Zaer, H, Rasmussen, M M, Zepke, F, Bodin, C, Domurath, B & Kutzenberger, J 2018, ' Effect of spinal anterior root stimulation and sacral deafferentation on bladder and sexual dysfunction in spinal cord injury ', Acta Neurochirurgica, vol. 160, pp. 1377-1384 . https://doi.org/10.1007/s00701-018-3557-1 |
| DOI: | 10.1007/s00701-018-3557-1 |
| Popis: | Spinal cord injury (SCI) is a highly devastating injury with a variety of complications; among them are neurogenic bladder, bowel, and sexual dysfunction. We aimed to evaluate the effect of sacral anterior root stimulation with sacral deafferentation (SARS-SDAF) on neurogenic bladder and sexual dysfunction in a large well-defined spinal cord injury cohort.In the manner of cross-sectional study, subjects undergone SARS-SDAF between September 1986 and July 2011 answered a questionnaire concerning conditions before and after surgery in the department of Neuro-Urology, Bad Wildungen, Germany.In total 287 of 587 subjects were analyzed. Median age was 49 years (range 19-80), median time from SCI to surgery was 10 years (range 0-49), and from surgery to follow-up 13 years (range 1-25). Of the analyzed subjects, 100% of both gender used SARS for bladder emptying. On the visual analogue scale (VAS) ranging from 0 to 10 (best), satisfaction with SARS-SDAF was 10 concerning bladder emptying, however 5 and 8 regarding sexual performance, for female and male users, respectively. Baseline and follow-up comparison showed a decline in self-intermittent catheterization (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|