Surgical management of the neurogenic bladder after spinal cord injury

• Published in: World journal of urology Vol. 36; no. 10; pp. 1569 - 1576
• Main Authors: Wyndaele, Jean-Jacques, Birch, Brian, Borau, Albert, Burks, Frank, Castro-Diaz, David, Chartier-Kastler, Emmanuel, Drake, Marcus, Ishizuka, Osamu, Minigawa, Tomonori, Opisso, Eloy, Peters, Kenneth, Padilla-Fernández, Barbara, Reus, Christine, Sekido, Noritoshi
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 01.10.2018; Springer Nature B.V
• Subjects: Bladder; Humans; Medicin och hälsovetenskap; Medicine; Medicine & Public Health; Nephrology; Oncology; Patients; Sphincter; Spinal cord injuries; Spinal Cord Injuries - complications; Surgery; Topic Paper; Urethra; Urinary Bladder, Neurogenic - etiology; Urinary Bladder, Neurogenic - surgery; Urologic Surgical Procedures; Urology; Spinal cord injury; Lower urinary tract; Surgery
• ISSN: 0724-4983; 1433-8726; 1433-8726
• DOI: 10.1007/s00345-018-2294-7

Purpose This work represents the efforts of the SIU-ICUD workgroup on this topic and comprehensive literature search of English language manuscripts regarding urologic surgery in spinal cord injury using key words of urologic surgery and spinal cord injury. Articles were compiled, and recommendations in the chapter are based on group discussion and intensive communication. The purpose is to review what has been published during the last decades on urological surgery for neurogenic bladder after spinal cord injury. Methods Surgical techniques applied in spinal cord injured patients for neurogenic bladder dysfunction have been reviewed and the published material evaluated. Results There are several techniques that can be used to treat neurogenic dysfunctions and symptoms in refractory cases where conservative treatment failed. The number of publications is small as are the number of patients with spinal cord injury in which they have been performed. The choice of techniques proposed to the patients depends on the exact functional pathology in bladder, bladder neck and urethral sphincter. The final informed choice will be made by the patient. Conclusion There are surgical urological techniques available to treat neurologic dysfunctions in spinal cord injured patients.