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The observed PFM activation in the normal subject e. In addition to single-pulse electric stimulation, two identical electrical pulses separated by a 3-ms interval can be used i.

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The letters after his name are D. The synapse between the afferent and efferent limbs occurs in the lowest sacral segments of the spinal cord. A similar clinical picture may be seen in some animals that are not responsive to hormone therapy. The observed PFM activation in the normal subject e. Perineal reflexes are diminished or absent. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site.

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A complete reflex arc lesion should not be inferred by absence of a response if only single pulse is used for stimulation Podnar and VoduĊĦek, The most frequently recognized disorder of micturition is a loss of the detrusor reflex with increased tone in the urethral sphincter. Loss of voluntary control of micturition occurs with lesions severe enough to disrupt voluntary motor function of the limbs. It is supported by cutaneous stimuli, by pelvic organ distension and by intra-abdominal pressure changes. Dysautonomia Key Gaskell syndrome produces clinical signs of urinary incontinence attributable to loss of parasympathetic and sympathetic innervations.

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The perineal reflex is the best indication of the functional integrity of the sacral spinal cord segments and nerve roots. The most common cause is compression of the spinal cord, such as occurs with intervertebral disk herniation, which disrupts the long pathways that are responsible for the detrusor reflex and the UMN pathways to the skeletal muscle of the urethral sphincter. If no anal opening is present, careful inspection of the genitourinary GU area should be performed to evaluate for a fistula. In addition to latency, a number of other parameters can also be measured using electric stimulation, such as, for instance, the reflex threshold, thus evaluating the excitation level of the sacral reflex pathway. The spinobulbar reflex arc is crucial in the control of bladder function in health.

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Thank you so much for being here today it is MUCH aprpeciated. In child sexual abuse the significance of findings in the vagina and hymen are well recognized.

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