Abstract | PURPOSE: 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.
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Authors | P E Van Kerrebroeck, E L Koldewijn, P F Rosier, H Wijkstra, F M Debruyne |
Journal | The Journal of urology
(J Urol)
Vol. 155
Issue 4
Pg. 1378-81
(Apr 1996)
ISSN: 0022-5347 [Print] United States |
PMID | 8632580
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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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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