Susset J G, Boctor Z N, Rosario F, Rabinovitch H, Nagler B, MacKinnon K J
Can Med Assoc J. 1966 Nov 26;95(22):1128-31.
Considerable interest has been shown recently in electrical stimulation of the incompetent urinary bladder. Two types of bladder stimulation have been attempted in dogs and in humans: (a) stimulation of nervi erigentes and (b) direct stimulation of the detrusor urinae muscle.After several years of animal experimentation, a vesical stimulator, built on a new electronic principle, was implanted successfully in a paraplegic patient who has a complete post-traumatic lower motor neuron lesion. The stimulator has been working satisfactorily since November 1965.This stimulator could eventually also be used in purely sensory sacral lesions, in well-selected incomplete lower motor neuron lesions, and in flaccid detrusors of the myogenic type.A review of the literature up to the time of this report shows only a few encouraging but incomplete results in humans. The techniques and the complexities involved in this problem are discussed.
近来，人们对无功能膀胱的电刺激表现出了浓厚兴趣。在犬类和人类身上尝试了两种类型的膀胱刺激：(a) 刺激勃起神经；(b) 直接刺激逼尿肌。经过数年的动物实验，基于一种新电子原理制造的膀胱刺激器成功植入一名患有完全性创伤后下运动神经元损伤的截瘫患者体内。自1965年11月以来，该刺激器一直工作良好。这种刺激器最终也可用于单纯感觉性骶部损伤、精心挑选的不完全性下运动神经元损伤以及肌源性类型的弛缓性逼尿肌。截至本报告撰写时的文献综述显示，在人类身上仅有一些令人鼓舞但并不完整的结果。本文讨论了该问题所涉及的技术及复杂性。
