Abstract
1. Diversion of the urine is rarely indicated in the adult neurogenic bladder.
2. The major indication for the operation is progressive renal failure due to a combination of obstruction and intractable infection, unresponsive to all the usual methods of treatment.
3. The usual procedure is a segregated ileal loop, but there is possibly a case to be made out in favour of a well-conducted ureterostomy.
4. Anteversion of the urethra is worth while considering in cases of continuous dribbling incontinence in women suffering from disseminated sclerosis and who are still mobile.
Finally, a plea is made for patience and for time to give spontaneous recovery of micturition a chance to return.
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Ross, J. Diversion of the urine in paraplegia. Spinal Cord 4, 209–216 (1967). https://doi.org/10.1038/sc.1966.27
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DOI: https://doi.org/10.1038/sc.1966.27