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Electrical restoration of the micturition reflex

Numerous attempts at electrical stimulation of the detrusor muscle of the urinary bladder to evoke contraction and evacuation have been carried out over the past decade. A review of prostheses for the restoration of urinary continence and for effecting bladder evacuation, is given. Problems encounte...

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Main Author: Naumann, Stephen
Other Authors: Milner, Morris
Format: Thesis
Language:English
Published: Department of Electrical Engineering 2016
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access_status_str Open Access
author Naumann, Stephen
author2 Milner, Morris
author_browse Milner, Morris
Naumann, Stephen
author_facet Milner, Morris
Naumann, Stephen
author_sort Naumann, Stephen
collection Thesis
description Numerous attempts at electrical stimulation of the detrusor muscle of the urinary bladder to evoke contraction and evacuation have been carried out over the past decade. A review of prostheses for the restoration of urinary continence and for effecting bladder evacuation, is given. Problems encountered during detrusor stimulation to effect voiding such as pain and increased urethral resistance are due to current spread to the surrounding pelvic structures. To restrict this current spread, sequentially activated multiple bipolar electrodes are employed. The development of a three-channel vesical stimulator to realize sequential pulsing is described. The inductively coupled device is externally controlled and totally implantable. The system used is believed by the author to be a unique method for transmitting three simultaneous and independent signals successfully to the simple type of receiver used. The good correlation between theoretical and practical results enables the theory developed to be used to predict the performance of coupled coils. The successful clinical trial of the stimulator in an animal and the good current restricting properties of the device indicate that the system used is a feasible method for the treatment of urinary retention following paraplegia.
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institution University of Cape Town (South Africa)
language eng
last_indexed 2026-06-10T12:44:37.849Z
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2016
publishDateRange 2016
publishDateSort 2016
publisher Department of Electrical Engineering
publisherStr Department of Electrical Engineering
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source_str UCTD — University of Cape Town Open Access Repository
spelling oai:open.uct.ac.za:11427/17775 Electrical restoration of the micturition reflex Naumann, Stephen Milner, Morris Electrical Engineering Biomedical Engineering Numerous attempts at electrical stimulation of the detrusor muscle of the urinary bladder to evoke contraction and evacuation have been carried out over the past decade. A review of prostheses for the restoration of urinary continence and for effecting bladder evacuation, is given. Problems encountered during detrusor stimulation to effect voiding such as pain and increased urethral resistance are due to current spread to the surrounding pelvic structures. To restrict this current spread, sequentially activated multiple bipolar electrodes are employed. The development of a three-channel vesical stimulator to realize sequential pulsing is described. The inductively coupled device is externally controlled and totally implantable. The system used is believed by the author to be a unique method for transmitting three simultaneous and independent signals successfully to the simple type of receiver used. The good correlation between theoretical and practical results enables the theory developed to be used to predict the performance of coupled coils. The successful clinical trial of the stimulator in an animal and the good current restricting properties of the device indicate that the system used is a feasible method for the treatment of urinary retention following paraplegia. 2016-03-15T07:08:48Z 2016-03-15T07:08:48Z 1974 Master Thesis Masters MSc http://hdl.handle.net/11427/17775 eng application/pdf Department of Electrical Engineering Faculty of Engineering and the Built Environment University of Cape Town
spellingShingle Electrical Engineering
Biomedical Engineering
Naumann, Stephen
Electrical restoration of the micturition reflex
thesis_degree_str Master's
title Electrical restoration of the micturition reflex
title_full Electrical restoration of the micturition reflex
title_fullStr Electrical restoration of the micturition reflex
title_full_unstemmed Electrical restoration of the micturition reflex
title_short Electrical restoration of the micturition reflex
title_sort electrical restoration of the micturition reflex
topic Electrical Engineering
Biomedical Engineering
url http://hdl.handle.net/11427/17775
work_keys_str_mv AT naumannstephen electricalrestorationofthemicturitionreflex