American Medical Systems, Inc.

Robert E Buuck

William M Klatt

Wayne H Graves

A method and apparatus for analyzing micturition disturbances are provided. The apparatus comprises a gas cystometry system for monitoring bladder detrusor reflexes and an electromyographic monitoring system which, in the preferred form of this invention, are combined within a unitary enclosure. The cystometry system further compromises a catheter for injecting fluid interiorly of the bladder and associated electronic circuitry for deriving interior bladder pressure. The electromyographic system comprises one or more electrodes for sensing sphincter electrical activity and electronic circuitry interconnected with the electrodes for amplifying sphincter electrical outputs. A dual trace strip chart recorder interconnected with the cystometry apparatus and the electromyography apparatus provides simultaneous display of bladder detrusor reflexes and related sphincter electrical activity for correlated analysis by the attendant physician. In the preferred embodiment of this invention the electromyographic electrodes are operably mounted at the bladder-engaging end of a cystometric catheter. A method disclosed herein for diagnosing micturition dysfunction comprises the steps of generating a cystometrogram, generating a sphincter electromyogram, and simultaneously displaying the cystometrogram and the electromyogram to thereby correlate micturition neurological responses.

Method and apparatus for micturition analysis

The prosthesis comprises a pair of expandable cylinders which are implanted in the penis, replacing the function of the two corpora cavernosa. Supplying fluid to the expandable cylinders is a fluid transfer mechanism that is also implanted in the patient's body so as to permit inflation of the cylinders when an elastomeric bulb is squeezed through the person's skin. In addition to the elastomeric bulb, the fluid transfer system includes a reservoir, a first check valve between the bulb and reservoir, a second check valve between the cylinders and bulb, and a special valve that can be manually operated to by-pass the check valves. In this way, the degree of erection of the penis is controlled by varying the amount of fluid within the prosthetic cylinders by squeezing the elastomeric bulb; deflation is accomplished by actuating the by-pass valve.

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Golden Valley, MN, United States of America

Robert E Buuck