Evidence map›Paper›PMID 33558526›Full record

ArticleScientific reports2021

Bladder and bowel responses to lumbosacral epidural stimulation in uninjured and transected anesthetized rats.

Robert F Hoey, Daniel Medina-Aguiñaga, Fahmi Khalifa, Beatrice Ugiliweneza, Sharon Zdunowski, Jason Fell, Ahmed Naglah, Ayman S El-Baz, April N Herrity, Susan J Harkema and 1 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06845904 (Study on Preliminary Safety and Efficacy of Epidural Electrical Stimulation to Manage Lower Urinary Tract Dysfunction After Spinal Cord Injury), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% of its field
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.

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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
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  4. Article
  5. Article
  6. Article
  7. Mapping the Iceberg of Autonomic Recovery: Mechanistic Underpinnings of Neuromodulation following Spinal Cord Injury.The Neuroscientist : a review journal bringing neurobiology, neurology and psychiatry · 2024
    Review
  8. Review
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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

11 authors at 2 institutions in 1 country.

Robert F HoeyDepartment of Anatomical Sciences and Neurobiology, University of Louisville School of Medicine, MDR, 511 S. Floyd St., Room 111, Louisville, KY, 40202, USA.
Daniel Medina-AguiñagaDepartment of Anatomical Sciences and Neurobiology, University of Louisville School of Medicine, MDR, 511 S. Floyd St., Room 111, Louisville, KY, 40202, USA.
Fahmi KhalifaBioengineering Department, University of Louisville J. B. Speed School of Engineering, Louisville, KY, USA.
Beatrice UgiliwenezaDepartment of Neurological Surgery, University of Louisville School of Medicine, Louisville, KY, USA.
Sharon ZdunowskiKentucky Spinal Cord Injury Research Center, University of Louisville, Louisville, KY, USA.
Jason FellDepartment of Anatomical Sciences and Neurobiology, University of Louisville School of Medicine, MDR, 511 S. Floyd St., Room 111, Louisville, KY, 40202, USA.
Ahmed NaglahBioengineering Department, University of Louisville J. B. Speed School of Engineering, Louisville, KY, USA.
Ayman S El-BazBioengineering Department, University of Louisville J. B. Speed School of Engineering, Louisville, KY, USA.
April N HerrityDepartment of Neurological Surgery, University of Louisville School of Medicine, Louisville, KY, USA.
Susan J HarkemaDepartment of Neurological Surgery, University of Louisville School of Medicine, Louisville, KY, USA.
Charles H HubscherDepartment of Anatomical Sciences and Neurobiology, University of Louisville School of Medicine, MDR, 511 S. Floyd St., Room 111, Louisville, KY, 40202, USA. chhubs01@louisville.edu.
University of Louisville · USNeurological Surgery · US

Funding

Functional Mapping with Lumbosacral Epidural Stimulation for Restoration of Bladder Function After Spinal Cord InjuryOT2OD024898 · OD · UNIVERSITY OF LOUISVILLE · PI HARKEMA, SUSAN J, HUBSCHER, CHARLES H. · 2017 to 2021
$6.0M
NIH HHS OT2 OD024898NIH HHS OT2OD024898
6 · The paper itself

Abstract

Spinal cord epidural stimulation (scES) mapping at L5-S1 was performed to identify parameters for bladder and bowel inhibition and/or contraction. Using spinally intact and chronic transected rats of both sexes in acute urethane-anesthetized terminal preparations, scES was systematically applied using a modified Specify 5-6-5 (Medtronic) electrode during bladder filling/emptying cycles while recording bladder and colorectal pressures and external urethral and anal sphincter electromyography activity. The results indicate frequency-dependent effects on void volume, micturition, bowel peristalsis, and sphincter activity just above visualized movement threshold intensities that differed depending upon neurological intactness, with some sex-dependent differences. Thereafter, a custom-designed miniature 15-electrode array designed for greater selectivity was tested and exhibited the same frequency-dependent urinary effects over a much smaller surface area without any concurrent movements. Thus, select activation of autonomic nervous system circuitries with scES is a promising neuromodulation approach for expedient translation to individuals with SCI and potentially other neurologic disorders.

Indexed as

Muscle ContractionPeristalsisSpinal Cord StimulationAnal CanalAnimalsColonFemaleMaleRatsRats, WistarSpinal Cord InjuriesUrethraUrinary Bladder

Identifiers

PMID33558526
PMCPMC7870824
OpenAlexW3128701774

What OpenQuestion holds

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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.