Electrical stimulation for the treatment of bladder dysfunction: current status and future possibilities
Abstract
Electrical stimulation of peripheral nerves can be used to cause muscle contraction, to activate reflexes, and to modulate some functions of the central nervous system (neuromodulation). If applied to the spinal cord or nerves controlling the lower urinary tract, electrical stimulation can produce bladder or sphincter contraction, produce micturition, and can be applied as a medical treatment in cases of incontinence and urinary retention. This article first reviews the history of electrical stimulation applied for treatment of bladder dysfunction and then focuses on the implantable Finetech-Brindley stimulator to produce bladder emptying, and on external and implantable neuromodulation systems for treatment of incontinence. We conclude by summarizing some recent research efforts including: (a) combined sacral posterior and anterior sacral root stimulator implant (SPARSI), (b) selective stimulation of nerve fibers for selective detrusor activation by sacral ventral root stimulation, (c) microstimulation of the spinal cord, and (d) a newly proposed closed-loop bladder neuroprosthesis to treat incontinence caused by bladder overactivity.
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ENG electrodes have been successfully implemented clinically in non-neuroprosthetic applications such as bladder management, drop foot, vagal nerve stimulation, and auditory nerve stimulation.
“ENG-electrodes have been successfully implemented clinically in non-neuroprosthetic applications, such as bladder management (Jezernik et al., 2002), drop foot (Liberson, 1961), vagal nerve stimulation (McLachlan, 1997; Fisher and Handforth, 1999) and auditory nerve stimulation (Arts et al., 2003).”
From Update on Peripheral Nerve Electrodes for Closed-Loop Neuroprosthetics (2018) · cites this paper as Jezernik et al., 2002
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Cogan, S. F., Guzelian, A. A., Agnew, W. F., Yuen, T. G. H., & McCreery, D. B. (2004) · Journal of Neuroscience Methods · doi:10.1016/j.jneumeth.2004.02.019 · Cited by 210 · see citing works
Corrosion of silicon integrated circuits and lifetime predictions in implantable electronic devices
Vanhoestenberghe, A., & Donaldson, N. (2013) · Journal of Neural Engineering · doi:10.1088/1741-2560/10/3/031002 · Cited by 140 · see citing works
Control of urinary bladder function with devices: successes and failures
Gaunt, R. A., & Prochazka, A. (2006) · Progress in Brain Research · doi:10.1016/s0079-6123(05)52011-9 · Cited by 105 · see citing works
Update on Peripheral Nerve Electrodes for Closed-Loop Neuroprosthetics
Rijnbeek, E. H., Eleveld, N., & Olthuis, W. (2018) · Frontiers in Neuroscience · doi:10.3389/fnins.2018.00350 · Cited by 91 · see citing works
“ENG-electrodes have been successfully implemented clinically in non-neuroprosthetic applications, such as bladder management (Jezernik et al., 2002), drop foot (Liberson, 1961), vagal nerve stimulation (McLachlan, 1997; Fisher andHandforth, 1999) and auditory nerve stimulation (Arts et al.”
BackgroundNeuroprostheses to treat neurogenic bladder dysfunction: current status and future perspectives
Rijkhoff, N. J. M. (2004) · Child's Nervous System · doi:10.1007/s00381-003-0859-1 · Cited by 66 · see citing works
Self-citation
- Authors
- Jezernik, S., Craggs, M., Grill, W. M., Creasey, G., & Rijkhoff, N. J. M.
- Affiliations
- ETH Zurich (CH)
- Royal National Orthopaedic Hospital (GB)
- Case Western Reserve University (US)
- Louis Stokes Cleveland VA Medical Center (US)
- Aalborg University (DK)
- Venue
- Neurological Research
- Publisher
- Informa UK Limited
- Published
- 2002-07
- Volume
- 24
- Issue
- 5
- Pages
- 413-430
- ISSN
- 0161-6412 (ISSN-L)
- 1743-1328
- OpenAlex
- W2068500158
- Cited by
- 102
- References
- 108
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2023: 3 · 2022: 3 · 2021: 3 · 2020: 2 · 2019: 2 · 2018: 3 · 2017: 2 · 2016: 4 · 2015: 4 · 2014: 2 · 2013: 5 · 2012: 3
- FWCI
- 9.02
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neurological Research (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- VBN Forskningsportal (Aalborg Universitet) (submittedVersion)
- Funders
- National Institute of Neurological Disorders and Stroke (R21NS043450, R21 NS43450, NS-9-2300)
- Topics
- Health Sciences › Medicine › Urology › Urinary Bladder and Prostate Research
- Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neural Engineering
- Keywords
- electrical stimulation, bladder dysfunction, neuromodulation, urinary incontinence, urinary retention, sacral neuromodulation, overactive bladder, micturition reflex
- MeSH terms
- Animals, Urinary Bladder, Urinary Bladder, Neurogenic, Electrodes, Implanted, Electric Stimulation Therapy, Humans, Hypogastric Plexus, Neural Pathways, Spinal Nerve Roots, Prostheses and Implants
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