An Experience of Spastic Neurogenic Bladder Treated with Augmentation Cystoplasty and External Urethral Sphincterotomy.
- Author:
Myoung Keun CHO
1
;
Hee Cheol SONG
;
Kie Seok SEO
;
Jong Sung KIM
;
Joung Sik RIM
Author Information
1. Department of Urology, Wonkwang University, School of Medicine, Iksan, Korea.
- Publication Type:Original Article
- Keywords:
Spastic neurogenic bladder;
Augmentation cystoplasty;
External urethral sphincterotomy
- MeSH:
Adult;
Ataxia;
Catheterization;
Catheters;
Humans;
Muscle Spasticity*;
Spinal Cord Injuries;
Urinary Bladder;
Urinary Bladder, Neurogenic*;
Urinary Incontinence
- From:Korean Journal of Urology
1998;39(2):195-199
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 41-year-old man with a 12-year history of urinary incontinence and frequency was presented our hospital. He had a spinal cord injury after fell down from a utility pole. Spastic neurogennic bladder and detrusor external sphincter dyssynergia was diagnosed and augmentation cystoplasty was performed. And we performed additional external sphincterotomy to avoid intrmittent self catheterization. He can retain as much as 800m1 of urine without urinary incontinence and voids with abdominal pressure and retains little residual urine. We report the good result of additional external urethral sphincterotomy after augmentation cystoplasty.