Laparoscopic bladder auto-augmentation in an incomplete traumatic spinal cord injury.

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 Cord

journal_title

Spinal cord

authors

Siracusano S,Trombetta C,Liguori G,De Giorgi G,d'Aloia G,Di Benedetto P,Belgrano E

doi

10.1038/sj.sc.3100939

subject

Has Abstract

pub_date

2000-01-01 00:00:00

pages

59-61

issue

1

eissn

1362-4393

issn

1476-5624

journal_volume

38

pub_type

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