{"id":"https://openalex.org/W1964397971","doi":"https://doi.org/10.1111/j.1525-1594.2005.29043.x","title":"Spastic Bladder and Spinal Cord Injury: Seventeen Years of Experience with Sacral Deafferentation and Implantation of an Anterior Root Stimulator","display_name":"Spastic Bladder and Spinal Cord Injury: Seventeen Years of Experience with Sacral Deafferentation and Implantation of an Anterior Root Stimulator","publication_year":2005,"publication_date":"2005-02-22","ids":{"openalex":"https://openalex.org/W1964397971","doi":"https://doi.org/10.1111/j.1525-1594.2005.29043.x","mag":"1964397971","pmid":"https://pubmed.ncbi.nlm.nih.gov/15725225"},"language":"en","primary_location":{"id":"doi:10.1111/j.1525-1594.2005.29043.x","doi":"https://doi.org/10.1111/j.1525-1594.2005.29043.x","is_oa":false,"landing_page_url":"https://doi.org/10.1111/j.1525-1594.2005.29043.x","pdf_url":null,"source":{"id":"https://openalex.org/S40391745","display_name":"Artificial Organs","issn_l":"0160-564X","issn":["0160-564X","1525-1594"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Artificial Organs","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5013794863","display_name":"J. Kutzenberger","orcid":"https://orcid.org/0000-0001-9935-5757","observed_orcids":["https://orcid.org/0000-0001-9935-5757"]},"institutions":[{"id":"https://openalex.org/I4210151624","display_name":"Werner-Wicker-Klinik","ror":"https://ror.org/05tyzry72","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4210151624"]}],"countries":["DE"],"is_corresponding":true,"raw_author_name":"Johannes Kutzenberger","raw_affiliation_strings":["Clinic for Neuro-Urology, Werner-Wicker Hospital, Bad Wildungen, Germany. jkutzenberger@werner-wicker-klinik.de","Clinic for Neuro-Urology, Werner-Wicker Hospital, Bad Wildungen, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Clinic for Neuro-Urology, Werner-Wicker Hospital, Bad Wildungen, Germany. jkutzenberger@werner-wicker-klinik.de","institution_ids":["https://openalex.org/I4210151624"]},{"raw_affiliation_string":"Clinic for Neuro-Urology, Werner-Wicker Hospital, Bad Wildungen, Germany","institution_ids":["https://openalex.org/I4210151624"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5066365643","display_name":"B. Domurath","orcid":"https://orcid.org/0000-0002-1309-8911","observed_orcids":["https://orcid.org/0000-0002-1309-8911"]},"institutions":[{"id":"https://openalex.org/I4210151624","display_name":"Werner-Wicker-Klinik","ror":"https://ror.org/05tyzry72","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4210151624"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Burkhard Domurath","raw_affiliation_strings":["Clinic for Neuro-Urology, Werner-Wicker Hospital, Bad Wildungen, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Clinic for Neuro-Urology, Werner-Wicker Hospital, Bad Wildungen, Germany","institution_ids":["https://openalex.org/I4210151624"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5039636517","display_name":"D. Sauerwein","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210151624","display_name":"Werner-Wicker-Klinik","ror":"https://ror.org/05tyzry72","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4210151624"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Dieter Sauerwein","raw_affiliation_strings":["Clinic for Neuro-Urology, Werner-Wicker Hospital, Bad Wildungen, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Clinic for Neuro-Urology, Werner-Wicker Hospital, Bad Wildungen, Germany","institution_ids":["https://openalex.org/I4210151624"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5013794863"],"corresponding_institution_ids":["https://openalex.org/I4210151624"],"apc_list":{"value":3990,"currency":"USD","value_usd":3990},"apc_paid":null,"fwci":4.46,"has_fulltext":false,"cited_by_count":84,"citation_normalized_percentile":{"value":0.93645851,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":87,"max":99},"biblio":{"volume":"29","issue":"3","first_page":"239","last_page":"241"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10279","display_name":"Urinary Bladder and Prostate Research","score":0.8393999934196472,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10279","display_name":"Urinary Bladder and Prostate Research","score":0.8393999934196472,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10925","display_name":"Spinal Cord Injury Research","score":0.13979999721050262,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10418","display_name":"Pelvic floor disorders treatments","score":0.0035000001080334187,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/spinal-cord-injury","display_name":"spinal cord injury","score":0.9869999885559082},{"id":"https://openalex.org/keywords/neurogenic-bladder","display_name":"neurogenic bladder","score":0.6650000214576721},{"id":"https://openalex.org/keywords/urinary-continence","display_name":"urinary continence","score":0.6480000019073486},{"id":"https://openalex.org/keywords/autonomic-dysreflexia","display_name":"autonomic dysreflexia","score":0.8669999837875366},{"id":"https://openalex.org/keywords/urinary-tract-infection","display_name":"urinary tract infection","score":0.7689999938011169},{"id":"https://openalex.org/keywords/paraplegia","display_name":"paraplegia","score":0.8669999837875366},{"id":"https://openalex.org/keywords/implant-complications","display_name":"implant complications","score":0.5740000009536743},{"id":"https://openalex.org/keywords/neurogenic-detrusor-overactivity","display_name":"neurogenic detrusor overactivity","score":0.7390000224113464},{"id":"https://openalex.org/keywords/micturition","display_name":"micturition","score":0.6449999809265137}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7894680500030518},{"id":"https://openalex.org/C2778334475","wikidata":"https://www.wikidata.org/wiki/Q1415275","display_name":"Spinal cord injury","level":3,"score":0.6829337477684021},{"id":"https://openalex.org/C2780775167","wikidata":"https://www.wikidata.org/wiki/Q9606","display_name":"Spinal cord","level":2,"score":0.6597443222999573},{"id":"https://openalex.org/C2776195251","wikidata":"https://www.wikidata.org/wiki/Q7573993","display_name":"Spastic","level":3,"score":0.6360867023468018},{"id":"https://openalex.org/C2778753352","wikidata":"https://www.wikidata.org/wiki/Q1668448","display_name":"Spinal cord stimulator","level":4,"score":0.5576726198196411},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.41934558749198914},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.39691412448883057},{"id":"https://openalex.org/C99508421","wikidata":"https://www.wikidata.org/wiki/Q2678675","display_name":"Physical medicine and rehabilitation","level":1,"score":0.14720138907432556},{"id":"https://openalex.org/C2779421357","wikidata":"https://www.wikidata.org/wiki/Q210427","display_name":"Cerebral palsy","level":2,"score":0.09766435623168945},{"id":"https://openalex.org/C2984781990","wikidata":"https://www.wikidata.org/wiki/Q1668448","display_name":"Spinal cord stimulation","level":3,"score":0.04225623607635498},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000344","descriptor_name":"Afferent Pathways","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D001743","descriptor_name":"Urinary Bladder","qualifier_ui":"Q000294","qualifier_name":"innervation","is_major_topic":true},{"descriptor_ui":"D001750","descriptor_name":"Urinary Bladder, Neurogenic","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D001750","descriptor_name":"Urinary Bladder, Neurogenic","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":true},{"descriptor_ui":"D001750","descriptor_name":"Urinary Bladder, Neurogenic","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D004599","descriptor_name":"Electric Stimulation Therapy","qualifier_ui":"Q000295","qualifier_name":"instrumentation","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011183","descriptor_name":"Postoperative Complications","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D013119","descriptor_name":"Spinal Cord Injuries","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D013126","descriptor_name":"Spinal Nerve Roots","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D013126","descriptor_name":"Spinal Nerve Roots","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D014563","descriptor_name":"Urodynamics","qualifier_ui":"Q000502","qualifier_name":"physiology","is_major_topic":false},{"descriptor_ui":"D016896","descriptor_name":"Treatment Outcome","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1111/j.1525-1594.2005.29043.x","doi":"https://doi.org/10.1111/j.1525-1594.2005.29043.x","is_oa":false,"landing_page_url":"https://doi.org/10.1111/j.1525-1594.2005.29043.x","pdf_url":null,"source":{"id":"https://openalex.org/S40391745","display_name":"Artificial Organs","issn_l":"0160-564X","issn":["0160-564X","1525-1594"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Artificial Organs","raw_type":"journal-article"},{"id":"pmid:15725225","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/15725225","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Artificial organs","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":6,"referenced_works":["https://openalex.org/W1981813302","https://openalex.org/W1988279974","https://openalex.org/W2010691092","https://openalex.org/W2089949459","https://openalex.org/W2424354417","https://openalex.org/W2524271034"],"related_works":["https://openalex.org/W2264047207","https://openalex.org/W2043787292","https://openalex.org/W1535942131","https://openalex.org/W1999049454","https://openalex.org/W2051970760","https://openalex.org/W2293187009","https://openalex.org/W2801950446","https://openalex.org/W1538679960","https://openalex.org/W2030762318","https://openalex.org/W2012583219"],"abstract_inverted_index":{"INTRODUCTION:":[0],"Spinal":[1],"cord":[2],"injured":[3],"patients":[4,28,71,103,153],"with":[5,29,88,107,182],"a":[6,11,77,105],"suprasacral":[7],"lesion":[8],"usually":[9],"develop":[10],"spastic":[12],"bladder.":[13],"The":[14,116,250],"hyperreflexia":[15],"of":[16,41,55,125,217,230,235,239],"the":[17,20,81,130,214,218,231],"detrusor":[18],"and":[19,25,37,53,99,138,203,221],"external":[21],"sphincter":[22],"causes":[23],"incontinence":[24],"threatens":[26],"those":[27],"recurrent":[30],"urinary":[31,219],"tract":[32],"infections":[33],"(UTI),":[34],"renal":[35],"failure,":[36],"autonomic":[38],"dysreflexia.":[39],"All":[40],"these":[42],"severe":[43],"disturbances":[44],"may":[45,128],"be":[46,94,260],"well":[47],"managed":[48],"by":[49],"sacral":[50],"deafferentation":[51,118],"(SDAF)":[52],"implantation":[54],"an":[56,236,254],"anterior":[57],"root":[58],"stimulator.":[59],"MATERIAL":[60],"AND":[61],"METHOD:":[62],"Between":[63],"September":[64],"1986":[65],"to":[66,162,212,222,245,259,262],"December":[67],"2002,":[68],"464":[69],"paraplegic":[70],"(220":[72],"female,":[73],"244":[74],"male)":[75],"received":[76],"SDAF-SARS.":[78],"Almost":[79],"exclusively":[80],"SDAF":[82,209],"was":[83,119,149],"done":[84,95],"intradurally,":[85],"which":[86],"means":[87,234],"one":[89],"operation":[90],"field":[91],"there":[92],"can":[93],"two":[96],"steps":[97],"(SDAF":[98],"SARS).":[100],"RESULTS:":[101],"440":[102],"have":[104],"follow-up":[106],"6.6":[108],"years":[109],"(at":[110],"least":[111],">":[112],"6":[113,174],"months-17":[114],"years).":[115],"complete":[117],"successful":[120],"in":[121,151,192,228],"94.1%.":[122],"A":[123,195],"total":[124],"420":[126],"paraplegics":[127],"use":[129,140],"SARS":[131],"for":[132,142,198],"voiding":[133],"(frequency":[134,144],"4.7":[135],"per":[136,146,159,164],"day)":[137],"401":[139],"it":[141,242],"defecation":[143],"4.9":[145],"week).":[147],"Continence":[148],"achieved":[150],"364":[152],"(83%).":[154],"UTI":[155],"declined":[156],"from":[157],"6.3":[158],"year":[160,165],"preoperatively":[161],"1.2":[163],"postoperatively.":[166],"Kidney":[167],"function":[168,216],"presented":[169],"stable.":[170],"Early":[171],"complications":[172,181],"were":[173],"CSF":[175],"leaks,":[176],"5":[177],"implant":[178,201,265],"infections.":[179],"Late":[180],"receiver":[183],"or":[184,205],"cable":[185],"failures":[186],"made":[187],"us":[188],"do":[189],"surgical":[190],"repairs":[191],"34":[193],"paraplegics.":[194],"step-by-step":[196],"program":[197],"trouble-shooting":[199],"differentiates":[200],"failure":[202],"myogenic":[204],"neurogenic":[206],"failure.":[207],"CONCLUSION:":[208],"is":[210,243],"able":[211,261],"restore":[213],"reservoir":[215],"bladder":[220],"achieve":[223],"continence.":[224],"Autonomic":[225],"dysreflexia":[226],"disappeared":[227],"most":[229],"cases.":[232],"By":[233],"accurate":[237],"adjustment":[238],"stimulation":[240],"parameters":[241],"possible":[244],"accomplish":[246],"low":[247],"resistance":[248],"micturition.":[249],"microsurgical":[251],"technique":[252],"requires":[253],"intensive":[255],"education.":[256],"One":[257],"has":[258],"manage":[263],"late":[264],"complications.":[266]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":4},{"year":2022,"cited_by_count":1},{"year":2021,"cited_by_count":1},{"year":2020,"cited_by_count":3},{"year":2019,"cited_by_count":2},{"year":2018,"cited_by_count":4},{"year":2017,"cited_by_count":4},{"year":2016,"cited_by_count":7},{"year":2015,"cited_by_count":4},{"year":2014,"cited_by_count":7},{"year":2013,"cited_by_count":5},{"year":2012,"cited_by_count":5}],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2016-06-24T00:00:00"}