Uroval BRS Assessment

Bulbocavernosus Reflex System

The BRS System provides Bulbocavernosus Reflex Evaluation with Latency Time for the Assessment of Sacral Nerve Dysfunction
  • Anal sphincter contraction in response to a stimulus (autonomic, sacral nerves S2-S4).
  • Testing for spinal shock and spinal cord injuries (SCI).
  • Spinal shock/SCI may contribute to incontinence and/or sexual dysfunction.
  • Traditional manual procedure: Tap or squeeze glans Penis or Clitoris and observe anus contraction (absence of reflex vs measured latency)
  • Has been performed utilizing electrical shock stimulation
  • Normal latency ~45msec
    • Acquire EMG signals for display and analysis by, or under the direction of a healthcare professional
    • Assess neurogenic sacral dysfunction which may lead to urinary incontinence, fecal incontinence, sexual dysfunction.
    • FDA Clearance September 11, 2009
    • Indications for use: CPT Code 51792 (~$210/evaluation)
    • “Mechanical” (ultrasound) stimulation – improved patient comfort and test accuracy
    • ~200 throughout US (~25 in Florida)

ICD 10 codes