No abstract available.
Urinary Bladder, Neurogenic*

Since the year 1993, on the purpose to protect the upper urinary tract and to ameliorate the quality of life, 160 intestinocystoplasties have been realized on many original diseases of the bladder: tumor, neurogenic bladder, chronic cystitis, urinary tuberculosis, cancer of the prostate. The ileum and ileocaecum were 2 positions of the GI tract chosen for reconstruction. Ileum was more preferred in the substitution as well as the augmentation procedures. The authors presented many modifications in technique, in the organization of the team of surgeons, in the postoperative surveillance. The results: showed that the neobladder had a good compliance: high volume and low pressure. They also showed that the continent intestinocystoplasty procedures had given a more improved quality of life in comparison with the other urinary diversion methods.
Bladder, Neurogenic ; Urinary Tract

Nonneurogenic neurogenic bladder is a condition in which the patient is with day and night wetting, infected urine, residual urine, reflux and upper tract damage without neurologic lesion or anatomical obstruction. Recently it is known that some patients with pediatric unstable bladder may contract their external sphincter to inhibit the detrusor contraction and pathological persistence of this "hold on" habit after they master a normal mature pattern of cortical control over the detrusor may result in nonneurogenic neurogenic bladder. The condition is reversible by bladder training with various methods. We report a case of nonneurogenic neurogenic bladder who is treated by self CIC after ileocecocystoplasty because bladder retraining has been failed due to high fever and severe frequency.
Fever ; Humans ; Urinary Bladder ; Urinary Bladder, Neurogenic*

No abstract available.
Humans ; Urinary Bladder, Neurogenic* ; Urodynamics*

A clinical evaluation was performed on 7 patients of neurogenic bladder who underwent T.U.R. or T.U.R. with external sphincterotomy. All patients were indwelling Foley catheter from 7 months (minimal) to 2 and 1/2 years(maximal), were unable to self-voiding and their residual urine was over 100cc. The following conclusions were obtained: 1) 3 patients underwent T.U.R. but T,U.R. and external sphincterotomy was performed in 4 patients. 2) Of 7 patients, satisfactory result was obtained in 5 patients, but 2 patients obtained unsatisfactory result.
Catheters ; Humans ; Urinary Bladder, Neurogenic*

It is very difficult to diagnose and treat the condition of neurogenic bladder or neurogenic voiding dysfunction. Causes of neurogenic bladder are central nervous system disorders. Diagnosis is based on urodynamic investigations. 80% of patients with neurogenic bladder can be treated by internal medicine therapies, but it is necessary to diagnose correctly the type of disorders (brain, spinal cord, peripheral nerves…) and to define exactly activities of muscle of bladder, urethral sphincter. Targets of treatment are preserving renal functions and improving urinary incontinence. Besides, there are some surgical procedures
Urinary Bladder, Neurogenic ; Diagnosis ; Therapeutics

No abstract available.
Spinal Cord* ; Urinary Bladder, Neurogenic*

A non-sterile technique of intermittent self catheterization was performed for 6 months to 3 years of duration an 4 patients with in inability to void in a normal fashion because of neurogenic bladder. Marked improvement was noted in urinary infection, renal function, bladder emptying, and perhaps most important the mental and emotional status of the patients and/or parents. The extremely low incidence of complications and its therapeutic efficacy clearly make non-sterile intermittent self catheterization an outstanding weapon in the urological field.
Catheterization* ; Catheters* ; Humans ; Incidence ; Parents ; Urinary Bladder ; Urinary Bladder, Neurogenic*

Emphysematous cystitis is an uncommon condition which is characterized by gas collection within the bladder wall and lumen due to gas forming organisms. Persons with diabetes, neurogenic bladder and chronic urinary infection are predisposed to the disease. We report a case of emphysematous cystitis owing to E. coli in a diabetic woman.
Cystitis* ; Female ; Humans ; Urinary Bladder ; Urinary Bladder, Neurogenic

OBJECTIVE: To evaluate the effect of a transrectal probe on the opening of internal urethral sphincter. METHOD: Twenty-five patients with a neurogenic bladder dysfunction were included in this study. For the transrectal ultrasonography (TRUS), a transrectal probe was inserted into the rectum before the bladder was filled. Internal urethral sphincter opening was investigated during the filling and voiding phases. The bladder was emptied and the probe was introduced intrarectally after the bladder filling for the investigation of internal urethral sphincter opening. Twelve subjects underwent an additional cystometry for the recording of maximal intravesical pressure with and without transrectal probe. RESULTS: There was no significant difference in the sensitivity of TRUS for the opening of internal urethral sphincter with insertion of the probe before or after the bladder filling. There was no significant change of the maximal intravesical pressure with or without the probe in the rectum. CONCLUSION: The results demonstrate that transrectal probe for TRUS does not cause a reflex effect on the opening of internal urethral sphincter.
Humans ; Rectum ; Reflex ; Ultrasonography ; Urethra* ; Urinary Bladder ; Urinary Bladder, Neurogenic