Abstract
In our department for paraplegics a total of 554 patients have received treatment during the past i\ years. On 65 of these patients—that is 12 per cent.—84 urological operations were performed: Litholapaxy in 13 cases, T.U.R. of the prostate gland in 23, meatotomy in 7, plastic surgery on the urethra in 4, bladder neck resection in female in 12, in male in 17, and external sphincterotomy in 8 cases. Techniques and results of these operations are discussed. Litholapaxy is indicated for whenever bladder stones are present. T.U.R. of the prostate gland, bladder neck resection and transurethral external sphincterotomy yield good results, when the special indications for these operations are observed.
Similar content being viewed by others
Article PDF
References
Browne, D (1949). An operation of hypospadias. Proc. roy. Soc. Med. 42, 446.
Cecil, A B (1946). Repair of hypospadias and urethral fistula. J. Urol. (Baltimore), 56, 237.
Cecil, A B (1952). Modern treatment of hypospadias. J. Urol. (Baltimore), 67, 1006.
Culp, O S & McRoberts, J W (1968). Malformation. Encyclopedia of Urology, VII, 1, 306–344. Berlin, Heidelberg, New York: Springer Verlag.
Currie, R J, Bilbisi, A A, Schiebler, J C & Buuts, R C (1970). External sphincterotomy in paraplegics. Techniques and results. J. Urol. (Baltimore), 109, 64.
Emmett, J L (1945). Transurethral resection in treatment of true and pseudocord bladder. J. Urol. (Baltimore), 53, 545.
Emmett, J L (1947). Further observations in the management of cord bladder by transurethral resection. J. Urol. (Baltimore), 57, 29.
Guttmann, L (1947). Discussion on the treatment and prognosis of traumatic paraplegia. Proc. roy. Soc. Med. 40, 219.
Guttmann, L (1969). Erfahrungen mit der konservativen Behandlung neurugener Blasenentleerungsstörungen. Neurogene Blasenstörungen: pp. 1–10. Stuttgart: Georg Thieme Verlag.
Guttmann, L & Frankel, H (1966). The value of intermittent catheterisation in the early management of traumatic paraplegia and tetraplegia. Paraplegia, 4, 63.
Johanson, B (1953). Reconstruction of male urethra in strictures. Application of buried intact epithelium technic. Acta Chir. Scand., suppl. 176, 7.
Micha Lowski, E & Modelski, W (1963). Operative treatment of hypospadias. J. Urol. (Baltimore), 89, 698.
Ross, J C, Gibbon, N O K & Damanski, M (1958). Division of external urethral sphincter in the treatment of the paraplegic bladder. Brit. J. Urol. 30, 204.
Ross, J C, Gibbon, N O K & Damanski, M (1958). Resection of the external sphincter in the paraplegic—preliminary report. J. Urol. (Baltimore), 79, 742.
Ross, J C, Gibbon, N O K & Damanski, M (1963). Further experiences with division of the external urethral sphincter in the paraplegic. J. Urol. (Baltimore), 89, 692.
Smythe, C A (1967). Division of the external sphincter in the treatment of the neurogenic bladder. Brit. J. Surg. 11, 627.
Smythe, C A (1966). External sphincterotomy in the management of the neurogenic bladder, a preliminary report. J. Urol. (Baltimore), 96, 31.
Urat-I—Prospekt—Instruktion. V/O ‘Medexpert' Moskau.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Elsaesser, E., Stoephasius, E. Urological operations for improvement of bladder voiding in paraplegic patients. Spinal Cord 10, 68–77 (1972). https://doi.org/10.1038/sc.1972.12
Issue Date:
DOI: https://doi.org/10.1038/sc.1972.12
This article is cited by
-
Therapieversagen nach BPS-Behandlung
Uro-News (2023)