Tim M Bruns et al 2009 J. Neural Eng. 6 066006 doi:10.1088/1741-2560/6/6/066006
Tim M Bruns1,2,3, Narendra Bhadra1,2,3 and Kenneth J Gustafson1,2,3,4
Show affiliationsReflex bladder excitation has been evoked via pudendal nerve, pudendal nerve branch and intraurethral stimulation; however, afferent-evoked bladder emptying has been less efficient than direct activation of the bladder via sacral root stimulation. A stimulation method that improves activation of the urethra–bladder excitatory reflex with minimal sphincter recruitment may lead to improved bladder emptying. Fine wire electrodes were placed in the wall of the urethra in five cats. Placement of electrodes near the proximal urethra evoked bladder contractions with minimal sphincter activation. On these electrodes, lower frequency burst-patterned stimuli evoked greater bladder voiding efficiencies (71.2 ± 27.8%) than other stimulus patterns on the same electrodes (50.4 ± 41.5%, p > 0.05) or any stimulus pattern on electrodes that elicited urethral closure (16.5 ± 12.7%, p < 0.05). Fine wire electrodes specifically targeted afferent fibers in the urethra, indicating the feasibility of clinical evaluations using the same method. This work may improve the translation of next generation neuroprostheses for bladder control.
87.80.-y Biophysical techniques (research methods)
87.19.R- Mechanical and electrical properties of tissues and organs
Issue 6 (December 2009)
Received 28 March 2009, accepted for publication 16 October 2009
Published 9 November 2009
Tim M Bruns et al 2009 J. Neural Eng. 6 066006
R Mills and P Ray 2003 J. Phys. D: Appl. Phys. 36 1535
Georg Steinhauser and Andreas Musilek 2009 Environ. Res. Lett. 4 034006
R C Bell et al 2008 Smart Mater. Struct. 17 015028
Anton Kuzyk et al 2009 Nanotechnology 20 235305
P Vignolo et al 2003 J. Phys. B: At. Mol. Opt. Phys. 36 4535
Jason Reed et al 2007 Nanotechnology 18 044032
Mohammad I Daoud and James C Lacefield 2009 Phys. Med. Biol. 54 5173
Adam C Waspe et al 2007 Phys. Med. Biol. 52 1863
E B Mpemba and D G Osborne 1969 Phys. Educ. 4 172