Evidence map›Paper›PMID 35136100›Full record

ArticleScientific reports2022

Thoracolumbar epidural stimulation effects on bladder and bowel function in uninjured and chronic transected anesthetized rats.

Robert F Hoey, Daniel Medina-Aguiñaga, Fahmi Khalifa, Beatrice Ugiliweneza, Dengzhi Wang, Sharon Zdunowski, Jason Fell, Ahmed Naglah, Ayman S El-Baz, April N Herrity and 2 more

Open access · goldAbstract readEvaluation Study
In one paragraph

Article in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 12% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
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  8. Review
  9. Article
  10. 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
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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

12 authors at 2 institutions in 1 country.

Robert F HoeyDepartment of Anatomical Sciences and Neurobiology, University of Louisville School of Medicine, Louisville, KY, USA.
Daniel Medina-AguiñagaDepartment of Anatomical Sciences and Neurobiology, University of Louisville School of Medicine, Louisville, KY, 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.
Dengzhi WangDepartment 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, Louisville, KY, 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, Louisville, KY, 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 OD024898
6 · The paper itself

Abstract

Pre-clinical studies have shown that spinal cord epidural stimulation (scES) at the level of pelvic and pudendal nerve inputs/outputs (L5-S1) alters storage and/or emptying functions of both the bladder and bowel. The current mapping experiments were conducted to investigate scES efficacy at the level of hypogastric nerve inputs/outputs (T13-L2) in male and female rats under urethane anesthesia. As found with L5-S1 scES, T13-L2 scES at select frequencies and intensities of stimulation produced an increase in inter-contraction interval (ICI) in non-injured female rats but a short-latency void in chronic T9 transected rats, as well as reduced rectal activity in all groups. However, the detrusor pressure during the lengthened ICI (i.e., urinary hold) remained at a low pressure and was not elevated as seen with L5-S1 scES, an effect that's critical for translation to the clinic as high fill pressures can damage the kidneys. Furthermore, T13-L2 scES was shown to stimulate voiding post-transection by increasing bladder activity while also directly inhibiting the external urethral sphincter, a pattern necessary to overcome detrusor-sphincter dyssynergia. Additionally, select scES parameters at T13-L2 also increased distal colon activity in all groups. Together, the current findings suggest that optimization of scES for bladder and bowel will likely require multiple electrode cohorts at different locations that target circuitries coordinating sympathetic, parasympathetic and somatic outputs.

Indexed as

AnimalsElectric Stimulation TherapyElectromyographyFemaleMaleRatsRats, WistarRectal DiseasesSpinal Cord InjuriesUrination Disorders

Identifiers

PMID35136100
PMCPMC8826941
OpenAlexW4210922377

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.