Continent reconstruction of detrusor hyperreflexia by sacral bladder denervation combined with continent vesicostomy

• Published in: Urology (Ridgewood, N.J.) Vol. 47; no. 6; pp. 930 - 931
• Main Authors: Hohenfellner, Markus, Fahle, Hubert, Dahms, Stefan, Linn, Jürgen F., Hutschenreiter, Gert, Thüroff, Joachim W.
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.06.1996; Elsevier Science
• Subjects: Adult; Biological and medical sciences; Cystostomy - methods; Humans; Male; Medical sciences; Reflex, Abnormal; Rhizotomy - methods; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the urinary system; Urinary Bladder - innervation; Urinary Bladder - surgery; Urinary Bladder, Neurogenic - surgery; Human; Nervous system diseases; Associated technique; Urinary system disease; Stoma; Urinary tract disease; Sacral root; Case study; Treatment; Urinary bladder; Surgery; Detrusor muscle; Diseases of the autonomic nervous system; Young adult; Neurogenic bladder; Bladder disease; Rhizotomy; Neurological disorder

We describe a two-stage surgical procedure for complex hyperreflexic detrusor dysfunction refractory to conservative therapy. First, ventral and dorsal sacral rhizotomies (S2 to S4/5) are performed to restore vesical storage function and abolish autonomic dysreflexia. Then, after an interval of seve...