Korean J Urol.  1998 Feb;39(2):195-199.

An Experience of Spastic Neurogenic Bladder Treated with Augmentation Cystoplasty and External Urethral Sphincterotomy

Affiliations
  • 1Department of Urology, Wonkwang University, School of Medicine, Iksan, Korea.

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.

Keyword

Spastic neurogenic bladder; Augmentation cystoplasty; External urethral sphincterotomy

MeSH Terms

Adult
Ataxia
Catheterization
Catheters
Humans
Muscle Spasticity*
Spinal Cord Injuries
Urinary Bladder
Urinary Bladder, Neurogenic*
Urinary Incontinence
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