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Because of a lack of published statistical data collected for large groups of patients, the reliability of monitoring for conus and cauda equina surgeries remains unclear. Anal mapping has been used in the past to identify the location of a sphincter defect before an anal sphincteroplasty in the treatment of fecal incontinence. The mean amplitude value was Whether the application of BCR monitoring is useful in terms of improvement of postoperative outcome has to be deduced from larger studies. Slowed conduction in the pudendal nerves in idiopathic neurogenic fecal incontience. Obstet Gynecol Clin North Am The asymmetrical distribution of ions between the inside negative and outside positive of a nerve cell creates a voltage potential that, when breached depolarization , allows the flow of current electrons.
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Wheeless’ Textbook of Orthopaedics

Continuous intraoperative recording of BCR on penile stimulation is being performed in specialized centers to protect innervation of pelvic organs during particular surgeries Sala et al. Additionally, a discussion of the urodynamic evaluation, an invaluable tool for investigating the autonomic function of the lower urinary tract, is found elsewhere. Moreover, clinical examination was supplemented by a small neurophysiological protocol, composed of motor and sensory nerve conduction studies. Both these studies analyzed very small samples of subjects, 17 and 14 respectively. By using this site, you agree to the Terms of Use and Privacy Policy. Retrieved from " https:
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Micturitional disturbance after acute hemispheric stroke: In the investigation of pelvic floor disorders, kEMG is used most frequently during urodynamic evaluations. We use cookies to ensure you get the best experience from our website. If there are negative results, treatment options can be offered. Handbook of Clinical Neurology, Related terms: Reflexes can also be used to your advantage when you can use them to improve your function. Several investigators have recently reported the feasibility of quantitative sensory testing of the lower urinary tract using Current Perception Threshold CPT testing.
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Generate a file for use with external citation management software. Nevertheless, there is no doubt that during tumor resection in the conus or within the cauda equina, information about functional changes of the sacral reflex circuitry is relevant for the preservation of functional tissue. A randomized controlled trial. Nerve cell depolarization is an all-or-nothing event; therefore, across any one nerve fiber only a finite voltage potential can be established. EMG recording of the sacral reflex has been shown to be more reliable than the clinically assessed response e. Urodynamics often reveal absent bladder sensation and a hypoactive detrusor with elevated postvoid residuals.
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