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Zusammenfassung

Eine neurologische Erkrankung ist oft mit einer Dysfunktion des Urogenitaltraktes verknüpft und umgekehrt. Viele Patienten mit einer neurologischen Erkrankung oder mit einer metabolischen Störung, die eine Neuropathie verursacht, weisen Störungen der Blasenentleerung, eine Harninkontinenz oder eine erektile Dysfunktion auf. Die Inzidenz von Blasenfunktionsstörungen bei Patienten mit einer multiplen Sklerose schwankt zwischen 50 % [4] und 97 % [26]. Eine erektile Dysfunktion bei Patienten mit einem Diabetes mellitus wurden in 25 % der 30jährigen und 54 % der über 50jährigen Patienten beobachtet [44]. Erkrankungen, die häufig mit neurogenen Störungen am Urogenitaltrakt einhergehen, sind in Tabelle 1 aufgeführt.

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Literatur

  1. Abrams P, Blaivas JG, Stanton SL, Andersen JT (1980) The standardization of terminology of lower urinary tract function. Scand J Urol Nephrol [Suppl 114]

    Google Scholar 

  2. Adrain ED (1944) Brain rhythms. Nature 153: 360

    Article  Google Scholar 

  3. Anten HWM, van Waalwijk van Doorn ESC, Debruyne FMJ (1986) Clarification of neurogenic lesions in the urogenital system of EMG and evoked responses. Proc ICS, Boston, 1098

    Google Scholar 

  4. Awad SA, Gajewski JB, Sogbein SK, Murray TJ, Field CA (1984) Relationship between neurological and urological status in patients with multiple sclerosis. J Urol 132: 499

    PubMed  CAS  Google Scholar 

  5. Badr G, Carlsson DA, Fall M et al. (1982) Cortical evoked potential following Stimulation of the urinary bladder in man. Electroencephal Clin Neurophysiol 54: 494

    Article  CAS  Google Scholar 

  6. Bemelmans BLH, Meuleman EJH, Anten BWM et al. (1991) Penile sensory disorders in erectile dysfunction: Results of a comprehensive neuro-urophysiological diagnostic work up in 123 patients. J Urol 146: 777

    PubMed  CAS  Google Scholar 

  7. Bemelmans BLH, Hommes OR, van Kerrebroeck PEV et al. (1991) Evidence for early lower urinary tract dysfunction in clinically silent multiple sclerosis. J Urol 145: 1219

    PubMed  CAS  Google Scholar 

  8. Bemelmans BLH, van Kerrebroeck PEV, Notermans SLH, Wijkstra H, Debruyne FMJ (1992) Motor evoked potentials from the urinary bladder after magnetic Stimulation of the sacral spinal cord. J Urol 147: 658

    PubMed  CAS  Google Scholar 

  9. Berger H (1929) On the electroencephalogram of man. Electroencephal Clin Neurophysiol [Suppl 28]: 37

    Google Scholar 

  10. Berger H (1936) On the electroencephalogram of man: second report. Electroencephal Clin Neurophysiol, [Suppl 28]: 75

    Google Scholar 

  11. Bradley WE (1972) Urethral electromyelography. J Urol 108: 563

    PubMed  CAS  Google Scholar 

  12. Bradley WE (1980) Cerebro-cortical innervation of the urinary bladder. Tohoku J Exp Med 113: 7

    Article  Google Scholar 

  13. Bradley WE (1986) Physiology of the urinary bladder. In: Walsh PC, Gittes RF, Perlmutter AD, Stamey TA (eds), Campbell’s Urology. Saunders, Philadelphia, pp 129–163

    Google Scholar 

  14. Bradley WE, Conway CJ (1966) Bladder representation in the pontine mesencephalic reticular formation. Exp Neurol 16: 237

    Article  PubMed  CAS  Google Scholar 

  15. Caton R (1875) The electrical currents of the brain. Br Med J 2: 278

    Google Scholar 

  16. Dawson GD (1947) Cerebral responses to electrical Stimulation of peripheral nerve in man. J Neurol Neurosurg Psychiat 10: 134

    Article  PubMed  CAS  Google Scholar 

  17. Dawson GD (1951) A summation technique for detecting small signals in a large irregular background J Physiol 115: 2

    Google Scholar 

  18. Dawson GD (1954) A summation technique for the detection of small evoked potentials. Electroencephal Clin Neurophysiol 6: 65

    CAS  Google Scholar 

  19. DeGroat WC, Nadelhaft I, Nulne RJ et al. (1981) Organization of the sacral parasympathetic reflex pathways to the urinary bladder and large intestine, J Auton Nerv Syst 3: 135

    Article  CAS  Google Scholar 

  20. DeGroat WC, Steers WD (1988) Neuroanatomy and neurophysiology of penile erection. In: Tanagho EA, Lue TF, McLure RD (eds), Contemporary management of impotence and infertility. Williams & Wilkins, Baltimore, pp 3–27

    Google Scholar 

  21. Dick HC, Bradley WE, Scott FB and Timm GW (1974). Pudendal sexual reflexes. Urology 3: 376

    CAS  Google Scholar 

  22. El-Badawi A, Schenk EA (1966) Dual innervation of the mammalian urinary bladder. Am J Anat 119: 405

    Article  PubMed  CAS  Google Scholar 

  23. Fletcher TF, Bradley WE (1978) Neuroanatomy of the bladder-urethra. J Urol 119: 153

    PubMed  CAS  Google Scholar 

  24. Galloway NTM, Chisholm GD, McInnes A (1985) Patterns and significance of the sacral evoked response (the Urologist’s Knee Jerk). Br J Urol 57: 145

    Article  PubMed  CAS  Google Scholar 

  25. Goldstein I (1988) Evaluation of penile nerves. In: Tanagho EA, Lue TF, McClure RD (eds) Contemporary management of impotence and infertility. Williams & Wilkins, Baltimore, pp 70–83

    Google Scholar 

  26. Goldstein I, Siroky MB, Sax DS, Krane RJ (1982) Neurologic abnormalities in multiple sclerosis. J Urol 128: 541

    PubMed  CAS  Google Scholar 

  27. Gomes de Araujo C, Schmidt RA, Tanagho EA (1982) Neural pathways to lower urinary tract identified by retrograde axonal transport of horseradish peroxidase. Urology 19: 290

    Article  Google Scholar 

  28. Haldeman S, Bradley WE, Bhatia NN, Johnson BK (1982) Pudendal evoked responses. Arch Neurol 39: 280

    PubMed  CAS  Google Scholar 

  29. Haldeman S, Bradley WE, Bhatia NN (1982) Evoked responses from pudendal nerve. J Urol 128: 974

    PubMed  CAS  Google Scholar 

  30. Halliday AM (1980) Evoked brain potentials: How far have we come since 1875. In: Barber C (ed) Evoked potentials. MTP Press, Lancaster, pp 3–18

    Google Scholar 

  31. Hassouna M, Lebel M, Abdel-Rahman M, Elhilali M (1986) Evoked potential of the sacral arc reflex: Technical aspects. Neurourol Urodyn 5: 543

    Article  Google Scholar 

  32. Herbert J (1973) The role of the dorsal nerves of the penis in the sexual behaviour of the male rhesus monkey. Physiol Behav 10: 293

    Article  PubMed  CAS  Google Scholar 

  33. Honda CN (1985) Visceral and somatic afferent convergence onto neurons near the central canal in the spinal cord of the cat. J Neurophysiol 53: 1059

    PubMed  CAS  Google Scholar 

  34. Jasper HH (1958) The ten twenty electrode system of the International Federation. Electroencephal Clin Neurophysiol 10: 371

    Google Scholar 

  35. Krane RJ (1986) Sexual function and dysfunction. In: Walsh P, Gittes RF, Perlmutter AD, Stamey TA (eds) Campbell’s Urology. Saunders, Philadelphia, p 700

    Google Scholar 

  36. Kuzhara S, Kanazawa I, Nadanishi T (1980) Topographical localization of the Onufs nuclear neurons innervating the rectal and vesical striated sphincter muscle. Neurosci Lett 16: 125

    Article  Google Scholar 

  37. Lavoisier P, Proulx J, Courtois F, De Carufel F, Durand L-G (1988) Relationship between perineal muscle contractions, penile tumescence, and penile rigidity during nocturnal erections. J Urol 139: 176

    PubMed  CAS  Google Scholar 

  38. Lepor H, Gregerman M, Crosby R, Mostofi FR, Walsh PC (1985) Precise localization of the autonomic nerves from the pelvic plexus to the corpora cavernosa: A detailed anatomical study of the adult male pelvis. J Urol 133: 207

    PubMed  CAS  Google Scholar 

  39. Lue TF, Zeineh SJ, Schmidt RA, Tanagho EA (1984) Neuroanatomy of penile erection: Its relevance to iatrogenic impotence. J Urol 131: 273

    PubMed  CAS  Google Scholar 

  40. Mitchell GA, Learmonth J (1953) Anatomy of the autonomic nervous system. Livingstone, London, p 190

    Google Scholar 

  41. Nathan PW, Smith MC (1958) The centripetal pathway from the bladder and Urethra within the spinal cord. J Neurol Neurosurg Psychiatr 24: 262

    Google Scholar 

  42. Nathan PW, Smith MC (1958) The centrifugal pathway for micturition within the spinal cord. J Neurol Neurosurg Psychiatr 21: 177

    Article  PubMed  CAS  Google Scholar 

  43. Notermans SLH (1984) Introduction to the clinical application of electromyography. In: Notermans SLH (ed), Current practice of clinical electromyography, Elsevier, Amsterdam, pp 1–7

    Google Scholar 

  44. Rubin A, Babbot D (1958) Impotence and diabetes mellitus. JAMA 168: 498

    CAS  Google Scholar 

  45. Schroder HD (1981) Onuf’s nucleus X: A morphological study of a human spinal nucleus. Anat Embryol 162: 443

    Article  PubMed  CAS  Google Scholar 

  46. Stief CG, Thon WF, Djamilian M, Schaebsdam F, Jonas U (1990) SPACE (Single potential analysis of cavernous electric activity) – a possible diagnosis of autonomic cavernous dysfunction and of cavernous smooth muscle degeneration. J Impot Res 2 [Suppl 2]: 91

    Google Scholar 

  47. Tanagho EA, Schmidt RA, Gomes de Araujo C (1982) Urinary striated sphincter: What is its nerve supply? Urology 20: 415

    CAS  Google Scholar 

  48. Tohayama M, Satoh K, Sakaumoto T (1987) Organization and projections of the neurons in the dorsal tegmental area of the rat. J Hirnforsch 19: 165

    Google Scholar 

  49. Wagner G, Gerstenberg TC, Levin RJ (1989) Electrical activity of corpus cavernosum during flaccidity and erection of the human penis: A new diagnostic method? J Urol 142: 723

    PubMed  CAS  Google Scholar 

  50. Webster GD, Older RA (1980) Video urodynamics. Urology 16: 106

    Article  PubMed  CAS  Google Scholar 

  51. Weis HD (1980) The physiology of human penile erection. Ann Int Med 76: 793

    Google Scholar 

  52. Wespes E, Nogueira MC, Herbaut AG, Caufriez M, Schulman CC (1990) Role of the bulbocavernosus muscle on the mechanism of human erection. Eur Urol 18: 45

    CAS  Google Scholar 

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Bemelmans, B.L.H. (1997). Klinische Neurophysiologie. In: Stöhrer, M., Madersbacher, H., Palmtag, H. (eds) Neurogene Blasenfunktionsstörung Neurogene Sexualstörung. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-60440-9_7

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  • DOI: https://doi.org/10.1007/978-3-642-60440-9_7

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