Treatment of unstable bladder.

Abstract:

:We present our experience with 2 spinal-injury patients tested for urinary incontinence via implanted sacral nerve electrodes. In each patient, spinal injury occurred at the T-12 level, with presentation of spontaneous detrusor activity. Associated weakness of the voluntary sphincter mechanism was evident urodynamically. Neurostimulation via wire electrode in the S3 foramen produced good sphincter closure. Voiding secondary to spontaneous detrusor triggering could thereby be suppressed, eliminating embarrassing incontinence without interfering with the patient's ability to empty the bladder at regular intervals. The therapeutic principles of neurostimulation applicable to patients with spastic bladders are underscored by these 2 cases.

journal_name

Urology

journal_title

Urology

authors

Schmidt RA

doi

10.1016/0090-4295(91)80072-f

subject

Has Abstract

pub_date

1991-01-01 00:00:00

pages

28-32

issue

1

eissn

0090-4295

issn

1527-9995

pii

0090-4295(91)80072-F

journal_volume

37

pub_type

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