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Results of the treatment of neurogenic bladder dysfunction in spinal cord injury by sacral posterior root rhizotomy and anterior sacral root stimulation.

AbstractPURPOSE:
We evaluated the results of treatment of neurogenic bladder dysfunction in spinal cord injury by sacral posterior root rhizotomy and anterior sacral root stimulation using the Finetech-Brindley stimulator.
MATERIALS AND METHODS:
In 52 patients with spinal cord lesions and urological problems due to hyperreflexia of the bladder complete posterior sacral root rhizotomy was performed and a Finetech-Brindley sacral anterior root stimulator was implanted. All patients were evaluated and followed with a strict protocol. A minimal 6-month followup is available in 47 cases.
RESULTS:
Complete continence was achieved in 43 of the 47 patients with 6 months of followup. A significant increase in bladder capacity was attained in all patients. Residual urine significantly decreased, resulting in a decreased incidence of urinary tract infections. In 2 patients upper tract dilatation resolved. In 3 patients rhizotomy was incomplete and higher sectioning of the roots was necessary. One implant had to be removed because of infection.
CONCLUSIONS:
The treatment of neurogenic bladder dysfunction in spinal cord injury by anterior sacral root stimulation with the Finetech-Brindley stimulator in combination with sacral posterior root rhizotomy provides excellent results with limited morbidity.
AuthorsP E Van Kerrebroeck, E L Koldewijn, P F Rosier, H Wijkstra, F M Debruyne
JournalThe Journal of urology (J Urol) Vol. 155 Issue 4 Pg. 1378-81 (Apr 1996) ISSN: 0022-5347 [Print] United States
PMID8632580 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Topics
  • Adolescent
  • Adult
  • Defecation (physiology)
  • Electric Stimulation Therapy
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Rhizotomy
  • Sacrococcygeal Region
  • Spinal Cord Injuries (complications)
  • Spinal Nerve Roots
  • Urinary Bladder (physiopathology)
  • Urinary Bladder, Neurogenic (etiology, therapy)

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