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Selective Sacral Neurectomy in the Management of Urinary Incontinence due to Detrusor Instability
Author(s) -
CLARKE S. J.,
FORSTER D. M. C.,
THOMAS D. G.
Publication year - 1979
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1979.tb03590.x
Subject(s) - neurectomy , medicine , detrusor instability , urodynamic studies , urinary bladder , surgery , urinary incontinence , urology , urinary system , alternative medicine , pathology
Summary— Since Torrens (1974) reported on the use of selective sacral neurectomy in the management of bladder instability, the procedure has been used increasingly in specialised centers. We report the clinical and urodynamic findings in 9 patients in whom this procedure has been performed. The results suggest that selective sacral neurectomy is a valuable procedure in a highly selected group of patients with neurogenic bladder dysfunction. Patient selection, contraindications and the choice of which sacral nerves to divide are discussed.