Evidence map›Paper›PMID 29875362›Full record

ArticleScientific reports2018

Lumbosacral spinal cord epidural stimulation improves voiding function after human spinal cord injury.

A N Herrity, C S Williams, C A Angeli, S J Harkema, C H Hubscher

3 registry-linked trialsAbstract read
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 79 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02339233 nacompletednot on this map

Spinal Epidural Electrode Array to Facilitate Standing and Stepping After Spinal Cord Injury

TypeinterventionalSponsorUniversity of LouisvilleRan2010 to 2019Enrolled8ConditionsSpinal Cord InjuryArmsStanding and Stepping with spinal cord Epidural Stimulation
NCT06587841 narecruitingnot on this mapstarted 2024, after this paper: background citation

Noninvasive Spinal Cord Neuromodulation to Improve Lower Urinary Tract Function After Spinal Cord Injury in Ukrainian War Veterans

TypeinterventionalSponsorUniversity of British ColumbiaRan2024 to 2027Enrolled60ConditionsSpinal Cord Injuries, Bowel Dysfunction, Sexual Dysfunction, Autonomic DysfunctionArmsSpinal COrd NEuromodulation™ (SCONE™) for transcutaneous spinal cord stimulation (TSCS)
NCT06845904 narecruitingnot on this mapstarted 2025, after this paper: background citation

Study on Preliminary Safety and Efficacy of Epidural Electrical Stimulation to Manage Lower Urinary Tract Dysfunction After Spinal Cord Injury

TypeinterventionalSponsorEcole Polytechnique Fédérale de LausanneRan2025 to 2027Enrolled3ConditionsSpinal Cord Injuries (SCI), Spinal Cord InjuryArmsWaveWriter Alpha™ neurostimulation system
3 · Its place in the literature

Who cites it

79 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. iScience · 2026
    Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Review
  20. Review

19 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

A N HerrityKentucky Spinal Cord Injury Research Center, University of Louisville, Louisville, KY, USA.
C S WilliamsDepartment of Urology, University of Louisville, Louisville, KY, USA.
C A AngeliKentucky Spinal Cord Injury Research Center, University of Louisville, Louisville, KY, USA.
S J HarkemaKentucky Spinal Cord Injury Research Center, University of Louisville, Louisville, KY, USA.
C H HubscherKentucky Spinal Cord Injury Research Center, University of Louisville, Louisville, KY, USA. chhubs01@louisville.edu.ORCID 0000-0002-6678-750X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Deficits in urologic function after spinal cord injury (SCI) manifest both as a failure to store and empty, greatly impacting daily life. While current management strategies are necessary for urological maintenance, they oftentimes are associated with life-long side effects. Our objective was to investigate the efficacy of spinal cord epidural stimulation (scES) as a promising therapy to improve bladder control after SCI. A bladder mapping study was undertaken for sixteen sessions over the course of four months in an individual with chronic, motor complete SCI. Varying combinations of stimulating cathode electrodes were initially tested during filling cystometry resulting in the identification of an effective configuration for reflexive bladder emptying at the caudal end of the electrode array. Subsequent systematic testing of different frequencies at a fixed stimulus intensity and pulse width yielded lowest post-void residual volumes at 30 Hz. These stimulation parameters were then tested in four additional research participants and found to also improve reflexive voiding efficiency. Taken together with SCI studies on step, stand, voluntary motor control and cardiovascular regulation, these findings further corroborate that scES has an all-encompassing potential to increase the central state of excitability, allowing for the control of multiple body functions, including the urological system.

Indexed as

UrinationAdultHumansLumbosacral RegionMaleSpinal CordSpinal Cord InjuriesSpinal Cord StimulationUrinary Bladder

Identifiers

PMID29875362
PMCPMC5989228

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.