Flamm J, Kiesswetter H
Z Urol Nephrol. 1977 May;70(4):267-75.
We examined 18 patients with lesion of the lower motor neuron, conditioned partly by lesion of the spinal cord, partly by lesion of the peripheral vesical nerves, before and after the percutaneous electrostimulation (myelotron) and established the urodynamically verified effect. Apart from one case of unclarified and fully therapy-resistent atony of the urinary bladder we found in all patients a subjective improvement of their complaints (retarded beginning of miction, spontaneous miction only with straining, large quantities of residual urine). Objectively an improvement of the sensitivity of the urinary bladder or of the motoricity appeared, in most cases both. We could not establish an essential influence on the tonus of an empty bladder and the tonus of the sphincter musculature. In all patients the residual urine could be reduced drastically, after the treatment the major part of the patient could urinate without residual urine.
我们检查了18例下运动神经元受损的患者，这些损伤部分由脊髓损伤引起，部分由膀胱周围神经损伤引起。在经皮电刺激（脊髓刺激器）前后，我们通过尿动力学验证了其效果。除了一例膀胱不明原因且完全耐药的无张力病例外，我们发现所有患者的主诉都有主观改善（排尿起始延迟、仅用力时才能自主排尿、大量残余尿）。客观上，膀胱敏感性或运动性出现改善，大多数情况下两者都有改善。我们未能确定对空膀胱张力和括约肌肌张力有实质性影响。在所有患者中，残余尿都能大幅减少，治疗后大部分患者排尿时无残余尿。
