Abstract:
OBJECTIVES:To assess the urodynamic and clinical outcome of a laparoscopic auto-augmentated bladder. METHODS:Laparoscopic bladder autoaugmentation in a 27-year-old woman with an incomplete spinal cord injury at T12 level with urge incontinence caused by a hyperreflexic bladder. RESULTS:Six months later the patient voids by Valsalva's manoeuvre every 3 h and remains dry day and night. The radio-urodynamic study, performed 2 months later, revealed an intact bladder with a diverticulum of anterior wall and a capacity of 510 ml with filling rate of 100 ml/min without evidence of leakage of infusion water. CONCLUSION:Laparoscopic retropubic auto-augmentation allows a brief hospital stay and minor postoperative discomfort. Moreover the laparoscopic approach should not complicate or preclude subsequent enterocystoplasty if necessary.
journal_name
Spinal Cordjournal_title
Spinal cordauthors
Siracusano S,Trombetta C,Liguori G,De Giorgi G,d'Aloia G,Di Benedetto P,Belgrano Edoi
10.1038/sj.sc.3100939subject
Has Abstractpub_date
2000-01-01 00:00:00pages
59-61issue
1eissn
1362-4393issn
1476-5624journal_volume
38pub_type
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