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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

1996; Lippincott Williams & Wilkins; Volume: 155; Issue: 4 Linguagem: Inglês

10.1016/s0022-5347(01)66272-4

1527-3792

Philip E.V. van Kerrebroeck, Evert L. Koldewijn, Peter Rosier, Hessel Wijkstra, F.M.J. Debruyne,

Ureteral procedures and complications

No AccessJournal of UrologyClinical Urology: Urological Neurology and Urodynamics1 Apr 1996Results of the Treatment of Neurogenic Bladder Dysfunction in Spinal Cord Injury by Sacral Posterior Root Rhizotomy and Anterior Sacral Root Stimulation Philip E.V. Van Kerrebroeck, Evert L. Koldewijn, Peter F.W.M. Rosier, Hessel Wijkstra, and Frans M.J. Debruyne Philip E.V. Van KerrebroeckPhilip E.V. Van Kerrebroeck , Evert L. KoldewijnEvert L. Koldewijn , Peter F.W.M. RosierPeter F.W.M. Rosier , Hessel WijkstraHessel Wijkstra , and Frans M.J. DebruyneFrans M.J. Debruyne View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)66272-4AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: 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.* *Finetech Ltd., Welwyn Garden City, Hertfordshire, England. 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. References 1 : Spinal cord injury. In: Urodynamics: Principles, Practice and Application.. Edited by . New York: Churchill Livingstone1984: 260. Google Scholar 2 : The urological status of 86 females following spinal cord injury. Brit. J. Urol.1979; 51: 515. Google Scholar 3 : A 15-year follow-up of 406 consecutive spinal cord injuries. Brit. J. Urol.1984; 56: 614. Google Scholar 4 : Oxybutinine in bladder spasm, neurogenic bladder, and enuresis. Urology1976; 8: 452. Google Scholar 5 : The cost of urinary incontinence in nursing homes. Med. Care1984; 22: 69. Google Scholar 6 : Clean, intermittent self catheterization in the treatment of urinary tract disease. J. Urol.1972; 107: 458. Abstract, Google Scholar 7 : Renal pathology in end-stage renal disease associated with paraplegia. Paraplegia1984; 22: 31. Google Scholar 8 : Late cause of death and life expectancy in paraplegia. Canad. Med. Ass. J.1961; 85: 73. Google Scholar 9 : Vesico-ureteric reflux in the neurogenic bladder. Brit. J. Surg.1965; 52: 164. Google Scholar 10 : Urinary tract infections in spinal cord injury patients. In: . Edited by . Philadelphia: W. B. Saunders Co.1986: 888. chapt. 18. Google Scholar 11 : The morbidity due to lower urinary tract function in spinal cord injury patients. Paraplegia1993; 31: 320. Google Scholar 12 : Bladder and sphincter behavior in patients with spinal cord lesions. J. Urol.1991; 146: 113. Link, Google Scholar 13 : Autonomic dysreflexia and its urological implications: a review. J. Urol.1991; 146: 1461. Link, Google Scholar 14 : Sacral anterior root stimulation for bladder control in paraplegia. Paraplegia1982; 20: 365. Google Scholar 15 : Die operative Behandlung der spastischen Blasenlahmung bei Querschnittlahmung. Urologe1990; 29: 196. Google Scholar 16 : The effect of sacral rhizotomy on lower urinary tract function in spinal injury patients. Eur. Urol.1990; 18: 8. abstract 13. Google Scholar 17 : Urodynamic evaluation before and after intradural posterior sacral rhizotomies and implantation of the Finetech-Brindley anterior sacral root stimulator. Urodinamica1992; 1: 7. Google Scholar 18 : Intradural sacral rhizotomies and implantation of an anterior sacral root stimulator in the treatment of neurogenic bladder dysfunction after spinal cord injury. Surgical technique and complications. World J. Urol.1991; 9: 126. Google Scholar 19 : Bladder compliance after posterior sacral root rhizotomies and anterior sacral root stimulation. J. Urol.1994; 151: 955. Abstract, Google Scholar 20 : The effect of intrathecal baclofen on the urinary tract in paraplegia. Paraplegia1990; 28: 420. Google Scholar 21 : Selective sacral rootlet rhizotomy for hypertonic neurogenic bladder. J. Neurosurg.1975; 42: 567. Google Scholar 22 : Long term results of superselective sacral nerve resection for motor urge incontinence. Scand. J. Urol. Nephrol.1984; 18: 101. Google Scholar 23 : Urinary continence in spinal injury patients following complete sacral posterior rhizotomy. Brit. J. Urol.1990; 66: 618. Google Scholar 24 : Sacral anterior root stimulators for bladder control in paraplegia: the first 50 cases. J. Neurol. Neurosurg. Psychiat.1986; 49: 1104. Google Scholar 25 : Long-term follow-up of patients with sacral anterior root stimulator implants. Paraplegia1990; 28: 469. Google Scholar 26 : Anterior sacral root stimulator (Brindley): experiences especially in women with neurogenic urinary incontinence. Neurourol. Urodynam.1988; 7: 593. Google Scholar Department of Urology, University Hospital Nijmegen, Nijmegen, The Netherlands© 1996 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byTAI C, ROPPOLO J and de GROAT W (2018) RESPONSE OF EXTERNAL URETHRAL SPHINCTER TO HIGH FREQUENCY BIPHASIC ELECTRICAL STIMULATION OF PUDENDAL NERVEJournal of Urology, VOL. 174, NO. 2, (782-786), Online publication date: 1-Aug-2005.TAI C, ROPPOLO J and de GROAT W (2018) BLOCK OF EXTERNAL URETHRAL SPHINCTER CONTRACTION BY HIGH FREQUENCY ELECTRICAL STIMULATION OF PUDENDAL NERVEJournal of Urology, VOL. 172, NO. 5, (2069-2072), Online publication date: 1-Nov-2004.Westney O, Lee J, Mcguire E, Palmer J, Cespedes R and Amundsen C (2018) Long-Term Results of Ingelman-Sundberg Denervation Procedure for Urge Incontinence Refractory to Medical TherapyJournal of Urology, VOL. 168, NO. 3, (1044-1047), Online publication date: 1-Sep-2002.ABDEL-GAWAD M, BOYER S, SAWAN M and ELHILALI M (2018) REDUCTION OF BLADDER OUTLET RESISTANCE BY SELECTIVE STIMULATION OF THE VENTRAL SACRAL ROOT USING HIGH FREQUENCY BLOCKADE: A CHRONIC STUDY IN SPINAL CORD TRANSECTED DOGSJournal of Urology, VOL. 166, NO. 2, (728-733), Online publication date: 1-Aug-2001. Volume 155 Issue 4 April 1996 Page: 1378-1381 Advertisement Copyright & Permissions© 1996 by American Urological Association, Inc.Metrics Author Information Philip E.V. Van Kerrebroeck More articles by this author Evert L. Koldewijn More articles by this author Peter F.W.M. Rosier More articles by this author Hessel Wijkstra More articles by this author Frans M.J. Debruyne More articles by this author Expand All Advertisement PDF downloadLoading ...