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Treatment of the Neuropathic Bladder by Enterocystoplasty and Selective Sphincterotomy or Sphincter Ablation and Replacement
Author(s) -
STEPHENSON T. P.,
MUNDY A. R.
Publication year - 1985
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.1985.tb08978.x
Subject(s) - medicine , sphincter , urology , ablation , surgery , ambulatory , artificial urinary sphincter , urethra , urinary system , urethral sphincter , urinary incontinence
Summary— Sixty‐one patients with lower urinary tract neuropathy were treated surgically, either to achieve continence or to prevent or arrest renal deterioration, or both. Most were myelodysplastics and all but two were ambulatory. Three techniques were employed, depending on the detrusor/sphincter behaviour and the sex of the patient: enterocystoplasty alone, with or without selective sphincterotomy and/or intermittent self‐catheterisation; total sphincter ablation and an artificial sphincter; or, most commonly, enterocystoplasty combined with sphincter ablation and an artificial sphincter. Continence was achieved in 58 patients, though nocturnal enuresis was sometimes a problem; renal deterioration was arrested in 13 of 14 patients and renal function remained stable in all of the other patients.