Gamé, X;
Kessler, TM;
Elneil, S;
Hamid, R;
(2010)
Neurogenic bladder dysfunction: Surgical interventional approaches.
In: Fowler, Clare J. and Panicker, Jalesh N. and Emmanuel, Anton, (eds.)
Pelvic Organ Dysfunction in Neurological Disease: Clinical Management and Rehabilitation.
(pp. 112-126).
Cambridge University Press: Cambridge, UK.
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Abstract
This chapter describes the different surgical procedures for managing a neurogenic bladder. The procedures include electrical stimulation, bladder and urethral reconstructive surgery, bladder outlet obstruction management and the treatment of stress urinary incontinence. Electrical stimulation to manage bladder dysfunction in patients with neurological disorders has been used since 1950. Electrical stimulation therapies include intravesical electrostimulation, sacral neuromodulation and sacral anterior root stimulation with selective sacral rhizotomy. Cutaneous continent diversions may be performed in neurological patients, mainly in the young myelomeningocele patient or those with spinal cord injury (SCI) who cannot perform clean intermittent self-catheterization (CISC) via the urethra because of congenital abnormalities, urethral pain, obesity, strictures or poor hand mobility. Finally, the chapter describes the suprapubic catheter (SPC), and sphincter surgery, which relieves bladder outlet obstruction due to external urethral sphincter contraction.
Type: | Book chapter |
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Title: | Neurogenic bladder dysfunction: Surgical interventional approaches |
ISBN-13: | 9780521198318 |
Open access status: | An open access version is available from UCL Discovery |
DOI: | 10.1017/CBO9780511762611.009 |
Publisher version: | https://doi.org/10.1017/CBO9780511762611.009 |
Language: | English |
Additional information: | This version is the version of record. For information on re-use, please refer to the publisher's terms and conditions. |
UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL EGA Institute for Womens Health |
URI: | https://discovery.ucl.ac.uk/id/eprint/10158934 |
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