Fall M, Erlandson B E, Carlsson C A, Sundin T
Urol Int. 1978;33(6):440-2. doi: 10.1159/000280235.
Clinical observations have indicated that not only stress incontinence due to defective urethral closure but also urge incontinence due to bladder hyperactivity can be successfully treated by electrical stimulation of the pelvic floor. Clinical investigations revealed that intravaginal electrical stimulation caused bladder inhibition registered as a volume increase. This inhibition was most marked at a low stimulation frequency (10 Hz). Animal experiments indicated that the bladder inhibition was achieved by autonomic spinal reflex mechanisms activated by stimulation of pudendal afferents.
临床观察表明,不仅因尿道闭合不全引起的压力性尿失禁,而且因膀胱活动亢进引起的急迫性尿失禁,都可以通过盆底电刺激成功治疗。临床研究表明,阴道内电刺激可导致膀胱抑制,表现为容量增加。这种抑制在低刺激频率(10赫兹)时最为明显。动物实验表明,膀胱抑制是通过刺激阴部传入神经激活自主脊髓反射机制实现的。