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[This article belongs to Volume - 69, Issue - 12]

Published on : 2024-12-11 13:33:24

Article Code: AMJ-11-12-2024-12305

Title : Implantable Wireless Neuroprosthesis for Bladder Control After Spinal Cord Injury: A Brain-Bladder Closed-Loop Interface

Author(s) : Dr. Marcus Johnson, Dr. Yuki Tanaka

Abstract :
Neurogenic bladder dysfunction after spinal cord injury (SCI) severely impacts quality of life. We developed an
implantable, wireless neuroprosthesis establishing a closed-loop interface between cortical bladder sensation areas
and sacral root stimulators. Using electrocorticography (ECoG) decoding of bladder fullness states and real-time
pudendal nerve feedback, the system enabled on-demand, physiological voiding in 6 SCI patients during a 12-month
trial. Participants achieved 85% voluntary voiding success, reduced urinary tract infections by 70%, and eliminated
indwelling catheter dependence in 4 cases. This brain-bladder interface restores autonomic function through
biomimetic neural engineering.

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