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Wallstents in Patients with Detrusor-Sphincter Dyssynergia

1995; Lippincott Williams & Wilkins; Volume: 154; Issue: 2 Linguagem: Inglês

10.1016/s0022-5347(01)67084-8

1527-3792

D. Sauerwein, Andreas J. Gross, J. Kutzenberger, R.‐H. Ringert,

Urological Disorders and Treatments

No AccessJournal of UrologyClerical Urology: Urological Neurology and Urodynamics1 Aug 1995Wallstents in Patients with Detrusor-Sphincter Dyssynergia D. Sauerwein, A. J.* Gross, J. Kutzenberger, and R.-H. Ringert D. SauerweinD. Sauerwein More articles by this author , A. J.* GrossA. J.* Gross More articles by this author , J. KutzenbergerJ. Kutzenberger More articles by this author , and R.-H. RingertR.-H. Ringert More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)67084-8AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: For patients with spinal cord injuries who are unable to perform clean intermittent self-catheterization, sphincterotomy is performed most commonly to avoid high bladder pressure. This procedure causes additional trauma and does not always lead to a satisfactory result. Therefore, we sought an alternative therapy. Materials and Methods: We introduce our initial experience with the UroLume Wallstent† American Medical Systems, Minnetonka, Minnesota. in the treatment of 51 patients with spinal cord injuries and detrusor-sphincter dyssynergia (observation time 12 to 36 months). Prior sphincterotomy was unsuccessful in all patients. Results: All observed urodynamic, radiological and clinical findings improved, and the results are encouraging. Conclusions: Implantation of this device seems to be appropriate in select paraplegic patients. References 1 : Observations on the function and dysfunction of the sphincter and detrusor mechanisms. Urol. Clin. N. Amer.1979; 6: 13. Google Scholar 2 : Die operative Behandlung der spastischen Blasenlahmung bei Querschnittslahmung. Urologe A1990; 29: 196. Google Scholar 3 : External sphincterotomy: rational for the procedure and experience with 150 patients. Paraplegia1974; 12: 5. Google Scholar 4 : An attempt to understand and to treat voiding dysfunction during rehabilitation of the bladder in spinal cord injury patients. J. Urol.1975; 115: 36. Google Scholar 5 : Complications, results and problems of ileal conduit diversions. J. Urol.1973; 109: 210. Link, Google Scholar 6 : Division of the external urethral sphincter in the treatment of neurogenic bladder. Brit. J. Surg.1967; 54: 627. Google Scholar 7 : Transurethral laser external urethral sphincterotomy in spinal cord injured patients. J. Urol., part 21993; 149: 269A. abstract 221. Google Scholar 8 : A new treatment for urethral strictures. Lancet1988; 1: 1424. Google Scholar 9 : Permanent stents for detrusor sphincter dyssynergia. Brit. J. Urol.1991; 67: 291. Google Scholar 10 : Transurethrale Extraktion ei nes dislozierten Wallstents der Harnrohre. Akt. Urol.1993; 24: 158. Google Scholar 11 : Use of the Wallstent endourethral prosthesis in the treatment of recurrent urethral strictures. Eur. Urol.1990; 18: 281. Google Scholar 12 : Multi-center trial in North America of Urolume urinary sphincter prosthesis. J. Urol.1994; 152: 924. Abstract, Google Scholar Department of Urology, Werner Wicker Klinik, Bad Wildungen and Klinik fur Urologie, Georg-August-Universitat, Gottingen, Germany.© 1995 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byLITWILLER S, FROHMAN E and ZIMMERN P (2018) MULTIPLE SCLEROSIS AND THE UROLOGISTJournal of Urology, VOL. 161, NO. 3, (743-757), Online publication date: 1-Mar-1999. Volume 154Issue 2August 1995Page: 495-497 Advertisement Copyright & Permissions© 1995 by American Urological Association, Inc.Metrics Author Information D. Sauerwein More articles by this author A. J.* Gross More articles by this author J. Kutzenberger More articles by this author R.-H. Ringert More articles by this author Expand All Advertisement PDF downloadLoading ...