Abstract
Fifty consecutive spinal injury patients who underwent simultaneous EMG of the peri-urethral and perianal striated muscles along with cystometrogram on a multiple channel recorder are analysed. Bladder filling, voiding and also influence of spasticity on the EMG activity of both perianal and periurethral striated muscles were compared. Periurethral striated EMG along with CMG has a better diagnostic value (95 per cent) as compared to perianal EMG-CMG which was diagnostic in 72 per cent patients.
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Abramson, A S, Roussan, M S & D'Oronzio, G (1966). Method for evaluating function of the neurogenic bladder. J.A.M.A., 195, 554.
Bradley, W E, Scott, F B & Timm, G W (1974). Sphincter Electromyography, Urologic clinics of North America 1, No. 1, 69–80.
Comarr, A E (1961). Voiding by rectal stimulation among patients with spinal cord injury. J. Indian. Med. Prof., 8, 3630.
Denny-Brown, D & Robertson, E G (1933). State of bladder and its sphincters in complete transverse lesions of spinal cord and cauda equina. Brain, 56, 397–463.
Floyd, W F & Walls, E W (1953). Electromyography of sphincter ani externus in man. J. Physiol., 122, 599–609.
Franksson, C & Peterson, I (1955). Electromyographic investigations of disturbances in the striated muscle of the urethral sphincter. Br. J. Urol., 27, 154.
Kawakami, M (1954). Electromyographic investigation on human external sphincter muscle of anus. Jap. J. Physiol., 4, 196.
Koch, N G & Pompeius, R (1963). Inhibition of vesical motor activity induced by anal stimulation. Acta Chir Scand., 126, 244–250.
Perkash, I (1978). Detrusor-sphincter dyssynergia and Dyssynergic responses: recognition and rationale for early modified transurethral sphincterotomy in complete spinal cord injury lesions. J. of Urol., 120, 469–474.
Ruskin, A P & Davis, J E (1975). A new urethral reflex revealed by sphincter electromyography. Arch. Phys. Med. Rehabil., 56, 220.
Scott, F B, Quesada, E M & Cardus, D (1964). Studies on the dynamics of micturition: observations on healthy men. J. of Urol., 92, No. 5, 455–463.
Sundin, T & Petersen, I (1975). Cystometry and simultaneous electromyography from the striated urethral and anal sphincters and from levator ani. Invest. Urol., 13, No. 1, 40–46.
Taverner, D & Smiddy, F G (1969). Electromyographic study of normal function of external anal sphincter and pelvic diaphragm. Dis. Colon Rectum, 2: 153–160, March-April.
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Perkash, I. Urodynamic evaluation: periurethral striated EMG versus perianal striated EMG. Spinal Cord 18, 275–280 (1980). https://doi.org/10.1038/sc.1980.48
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DOI: https://doi.org/10.1038/sc.1980.48
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