Urological operations for improvement of bladder voiding in paraplegic patients

Surgical Management of Anatomic Bladder Outlet Obstruction in Males with Neurogenic Bladder Dysfunction: A Systematic Review

“…The initial literature search resulted in 930 abstracts. After reviewing 84 full-text articles, eight studies were included [10][11][12][13][14][15][16][17]. Table 1 shows the descriptives of the included studies.…”

“…All study participants were included consecutively. Of the 333 included patients, neurogenic bladder dysfunction was due to SCI in 201 men [11,12,14,16], Parkinson disease in 73 men [10,17], CVA in 53 men [13,15], spina bifida in four men [12], and MS in two men [12].…”

“…More than one treatment modality was applied in two studies. However, in these studies, urethroplasty and meatotomy were performed in <10 cases, and the results will therefore not be discussed here [11,16]. Most of the studies reported the results of a surgical treatment in one hospital.…”

“…Elsaesser and Stoephasius [16] described 46 SCI patients with anatomic BOO. This was due to BPH in 21 patients, who underwent a TURP.…”

Fatal intra-peritoneal bladder rupture due to blocked catheter in a paraplegic

“…Clean, atraumatic intermittent catheterisation has been practised in cases of neurogenic bladder dysfunction (Lapides et at., 1972). Although transurethral resection of bladder neck, Otis urethrotomy and simple repeated urethral dilata tion have been advocated in female paraplegics (Elsaesser & Stoephasius, 1972;Jameson, 1976) some of these procedures could occasionally lead to urinary incon tinence. Pharmacological agents such as phenoxybenzamine have also been used but such pharmacotherapy would first require long-term trials as well as cheap and ready availability in developing countries before an opinion on their role in treatment gets properly defined.…”