膀胱電気刺激法の研究(第2報) : 刺激電極に関する基礎的実験

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In the electrical stimulation of the bladder, the stimulating current is transmitted to the surrounding tissue especially to the urethral sphincter, and the increased resistance of the urethra reduced sufficient urination. In the present study, the number of electrodes was increased to 3 or 4. They were buried in respective positions of the bladder wall to stimulate the bladder. The intravesical pressure was then recorded to register the state of urination. 1. The conventional method in which 2 electrodes were buried near the bilateral urethral orifices caused a rapid elevation of intravesical pressure but the urination suddenly stopped. 2. When one cathode and 2 anodes were buried in the posterior wall of the bladder, positive effect was obtained when these were placed in the longitudinal axis. 3. The condition for best electrical stimulation was 10 V, for 3-msec, when 2 cathodes and 2 anodes or 1 cathode and 3 anodes were buried into the bladder wall. Stimulation over a period of 1-2 msec was scarcely effective. Under such instance, intravesical pressure and curve for urination continued to rise mildly.
社団法人日本泌尿器科学会の論文