Key Words: Transcutaneous electrical stimulation, overactive detrusor, spinal cord injury
Amac: Calismamizda sakral dermatomal transkutanoz elektriksel norostimulasyon (SDTENS) metodunun omurilik hasarina bagli detrusor asiri aktivitesinde etkinligini degerlendirdik.
Anahtar Kelimeler: Transkutanoz elektriksel stimulasyon, asiri aktif detrusor, omurilik hasari
Although not performing a third cystometric study with a filling rate of 15 ml/min for comparison with continuous and intermittent cystometric studies with filling rate of 50 ml/min appeared as a limitation of our study, we think that our results are important as they demonstrated advantages of intermittent filling in patients with overactive detrusors.
We conclude that higher cystometric capacities can be achieved in SCI patients with overactive detrusors by intermittent filling.
Comparison of maximum cystometric capacities observed and time spent during continuous and intermittent filling cystometries in SCI patients with overactive detrusors.
Contraction of the detrusor increases intravesicular pressure above that of the outlet and micturition occurs.
For some people with overactive bladders, ATP is either released in excess or not broken down and triggers detrusor contraction, independent of ACh mechanisms.
Activation of beta-2 (and possibly beta-3) adrenoreceptors in the bladder dome causes active relaxation of the detrusor during the filling phase.
Suprasakral lezyon: Lezyon pons ve konus medullaris arasinda yer alir (TBH, MSY, transvers miyelit, siringomiyeli), hiperaktif detrusor, detrusor eksternal sfinkter dissinerjisi, yuksek ives.
Akontraktil detrusor vardir, detrusor kontraksiyonlari yok yada zayiftir.
Mesaneye bagli: hiperaktif detrusor yada hipokomplian detrusor