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Detrusor Hyper‐reflexia as a Factor in Spontaneous Perforation of Augmentation Cystoplasty for Neuropathic Bladder
Author(s) -
ANDERSON P. A. M.,
RICKWOOD A. M. K.
Publication year - 1991
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.1991.tb15112.x
Subject(s) - medicine , urinary bladder disease , urology , perforation , urinary bladder , materials science , punching , metallurgy
Summary— In a series of 30 children undergoing cystoplasty for neuropathic bladder, 14 had a combination of a competent sphincteric mechanism and detrusor hyper‐reflexia. All 3 cases of spontaneous perforation of the augmentation occurred within this latter group and it is postulated that excessive intravesical pressure due to high pressure hyper‐reflexia was the causal factor. Strategies to reduce the risk of perforation are discussed.