Sacral bladder denervation for treatment of detrusor hyperreflexia and autonomic dysreflexia

Lidocaine Anal Block Limits Autonomic Dysreflexia During Anorectal Procedures in Spinal Cord Injury: A Randomized, Double-Blind, Placebo-Controlled Trial

“…For example, dorsal penile nerve block effectively inhibits AD in males with SCI undergoing stimulation by rectal probe, 23 and bladder-associated AD is completely eliminated in patients with sacral bladder denervation. 24 This study suggests a safe, effective substitute (lidocaine anal block) for the commonly recommended but ineffective topical prophylaxis for anorectal procedureassociated AD.…”

Forty-five-year follow-up on the renal function after spinal cord injury

“…Sacral rhizotomy, also known as sacral deafferentation (SDAF), has achieved some success in reducing DO (16,(223)(224)(225)(226)(227), but it is used nowadays mostly as an adjuvant to sacral anterior root stimulation (228)(229)(230)(231)(232)(233)(234)(235)(236)(237)(238)(239). Alternatives for rhizotomy are sought in this treatment combination (240)(241)(242).…”

Sacral rhizotomy: a salvage procedure in a patient with autonomic dysreflexia

“…1,4 In selected patients, sacral deafferentation without implantation of an anterior root stimulator has been proven to be clinically useful as well. 5 If patients decide to undergo rhizotomy without receiving a stimulator, bowel evacuation and erectile function may become a problem, as reflex activity can be impaired by surgery. In our patient, defecation was possible without major clinical problems, and he was not concerned by the loss of erectile function.…”