J Korean Pain Soc.
1995 Nov;8(2):357-362.
Sacral Block with Phenol in Hyperreflexic Bladder Patient
- Affiliations
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- 1Department of Anesthesiology, College of Medicine, Chungnam National University, Tae Jeon, Korea.
- 2Department of Anesthesiology, Daejeon St. Mary's Hospital, Catholic University Medical College.
Abstract
- Percutaneous/intrathecal chemical neurolysis of sacral nerve with 12% phenol was performed on 13 cases of hyperreflexic bladder to augment bladder capacity and to reduce bladder pressure. Urodynamic evaluations were done before and after chemical neurolysis. Mean bladder capacity increased significantly after chemical neurolysis (from l71.4ml to 3l5 ml). No significant changes in bowel or injection sites were noted. The result suggests that the chemolysis of sacral nerve was available modality for hyperreflexic bladder patients, who did not respond to anticholinergic medication, before decide the more aggressive alternatives such as augmentation cystoplasty or urinary diversion.
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