Alexander S
Urol Int. 1976;31(1-2):129-33. doi: 10.1159/000280043.
Indwelling electrical stimulation of the pelvic floor by a radio-implant benefits some cases of problem or recurrent urinary incontinence. It is not possible to predict success or failure with a given patient. The only worthwhile criterion for selection is the presence of contraction of pelvic floor musculature in response to voluntary effort or trial electrical stimulation. The results are not simply explained by postulating electrically induced closure of the urethra. There may be conscious enhancement of the urinary sphincter mechanism. Re-education of voluntary sphincter muscles by electrophysiotherapy may occur. Reflex inhibition of the detrusor may occur. The surgery involved in inserting an implant restores continence in some patients.
通过植入式无线电装置对盆底进行电刺激，对某些有问题或复发性尿失禁病例有益。无法预测特定患者的治疗成败。唯一有价值的选择标准是，盆底肌肉组织在自主用力或试验性电刺激时是否出现收缩。其结果不能简单地通过假定电刺激导致尿道闭合来解释。可能存在对尿道括约肌机制的有意识增强。通过电生理疗法对自主括约肌进行再训练可能会发生。逼尿肌的反射性抑制可能会出现。植入装置的手术能使一些患者恢复控尿能力。
