Kiss G, Madersbacher H, Poewe W
Department of Neurology, University Hospital, Innsbruck, Austria.
World J Urol. 1998;16(5):308-12. doi: 10.1007/s003450050073.
The evaluation of cortical evoked potentials after stimulation of the vesicourethral junction shows accurate and reproducible results and offers an elegant technique for evaluation of the viscerosensory pathways in patients with lower urinary tract dysfunction. The results must be considered in context with the results of simultaneously investigated pudendal somatosensory evoked potentials and the clinical symptomatology. They are of great help (1) in differentiating between intraspinal and extraspinal lesions of the afferent pathways of the detrusor if the etiology is unknown, (2) in differentiating between neurogenic and myogenic damage to the urinary bladder, and (3) in selecting patients not suitable for intravesical electrotherapy for bladder rehabilitation.
刺激膀胱尿道连接部后对皮质诱发电位的评估显示出准确且可重复的结果，并为评估下尿路功能障碍患者的内脏感觉通路提供了一种精巧的技术。必须结合同时检测的阴部躯体感觉诱发电位结果和临床症状来考虑这些结果。它们在以下方面有很大帮助：（1）在病因不明时区分逼尿肌传入通路的脊髓内和脊髓外病变；（2）区分膀胱的神经源性和肌源性损伤；（3）筛选不适合膀胱康复性膀胱内电疗法的患者。
