Abstract
Two patients with severe neuropathic bladders were successfully treated with selective dorsal rhizotomy in conjunction with a ventral root neuroprosthesis. Both patients achieved stabilization of their renal function, continence, resolution of vesicoureteral reflux, and relief from indwelling urethral catheters. This alternative form of management avoids the complications of other operative approaches.
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Herschorn S (1990) The management of neurogenic bladder dysfunction: emphasis on pharmacologic manipulation and intermittent catheterization. In Webster GR, Stone AR, editors. Problems in Urology. Vol 4, No 1. Lippincott Co, Philadelphia.
Baskin L S, Kogan B A, Bernard F (1990) Treatment of neonatal neurogenic bladder. Dysfunction with anticholinergic drugs and intermittent catheterization. Br J Urol 66: 532–534.
Guttman L, Frankel H (1966) The value of intermittent catheterization in the early management of paraplegia and tetraplegia. Paraplegia 4: 63–67.
Jacobs S C, Kaufman J M (1978) Complications of permanent bladder catheter drainage in spinal cord injury patients. J Urol 119: 740–741.
Barber K E, Cross RR J r (1952) The urinary tract as a cause of death in paraplegia. J Urol 67: 494–502.
McGuire E J, Savastano J A (1983) Long-term followup of spinal cord injured patients managed by intermittent catheterization. J Urol 129: 775–776.
Malament M (1972) External sphincterotomy in neurogenic bladder dysfunction. J Urol 108: 554–557.
Mitchell M E, Yoder I C, Pfister R C, Daly J, Althausen A (1977) Ileal loop stenosis: A late complication of urinary diversion. J Urol 118: 957–961.
Shapiro S S, Lebowitz R, Colodny A H (1975) Fate of 90 children with ileal conduit urinary diversion a decade later: analysis of complications, pyelography, renal function and bacteriology. J Urol 114: 289–295.
Sheiner J R, Kaplin G W (1988) Spontaneous bladder rupture following enterocystoplasty. J Urol 140: 1157–1158.
Filmer R B (1987) Malignancy following bladder augmentations. Dialogues Pediat Urol 10: 7–8.
Tanagho E A, Schmidt R A (1988) Electrical stimulation in the clinical management of the neurogenic bladder. J Urol 140: 1331–1339.
Tanagho E A, Schmidt R A, Orvis B R (1989) Neural stimulation for control of voiding dysfunction: a preliminary report in 22 patients with serious neuropathic voiding disorders. J Urol 142: 340–345.
Schmidt R A (1986) Advances in genitourinary neurostimulation. Neurosurgery 18: 1041–1044.
Brindley G S, Poleky C E, Rushton D N (1982) Sacralanterior root stimulator for bladder control in paraplegia. Paraplegia 20: 365–381.
Brindley G S, Rushton D N (1990) Long-term follow-up of patients with sacral anterior root stimulator implants. Paraplegia 28: 469–475.
Diokno A C, Vinson R K, McGillicuddy J (1977) Treatment of the severe uininhibited neurogenic bladder by selective sacral rhizotomy. J Urol 118: 299–301.
Sauerwein D (1990) Die operative Behandlung der spastischen Blasenlahmung bei Querschnittlahmung. Urologe (A) 29: 196–203.
MacDonagh R P, Forster D M C, Thomas D G (1990) Urinary continence in spinal injury patients following complete sacral posterior rhizotomy. Br J Urol 66: 618–622.
Juenemann K-P, Lue T F, Schmidt R A, Tanagho E A (1988) Clinical significance of sacral and pudendal nerve anatomy. J Urol 139: 74–80.
Schmidt R A, Bruschini H, van Gool J, Tanagho E A (1979) Micturition and the male genitourinary response to sacral root stimulation. Invest Urol 17: 125–129.
Schmidt R A, Bruschini H, Tanagho E A (1979) Urinary bladder and sphincter responses to stimulation of dorsal and ventral sacral roots. Invest Urol 16: 300–304.
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Baskin, L., Schmidt, R. Bladder rehabilitation with dorsal rhizotomy and ventral neuroprosthesis. Spinal Cord 30, 783–787 (1992). https://doi.org/10.1038/sc.1992.150
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DOI: https://doi.org/10.1038/sc.1992.150