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• W2396397805 abstract "No AccessJournal of UrologyUrological Neurology and Urodynamics1 Oct 1992Selective Sacral Rhizotomy in the Management of the Reflex Neuropathic Bladder: A Report on 17 Patients with Long-Term Followup Mark E. Gasparini, Richard A. Schmidt, and Emil A. Tanagho Mark E. GaspariniMark E. Gasparini More articles by this author , Richard A. SchmidtRichard A. Schmidt More articles by this author , and Emil A. TanaghoEmil A. Tanagho More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)36862-3AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail During the last 6 years 24 patients with cervical or thoracic spinal cord injuries and a severe reflex neuropathic bladder underwent selective dorsal sacral rhizotomy with the aid of intraoperative neurostimulation and urodynamic monitoring. Preoperative and postoperative evaluation was available in 17 patients. Followup ranged from 2 months to 5 years (mean 32 months). Mean bladder capacity increased significantly after rhizotomy (from 148 ± 28.1 to 377 ± 52.9 ml., p <0.001), as did mean volume to first contraction (from 99 ± 28.6 to 270 ± 39.3 ml., p <0.001). No significant changes in bowel or erectile function were noted. Continence was improved in 94%, with 14 patients remaining completely dry and voiding with electrical stimulation or intermittent self-catheterization. The long-term results of selective sacral rhizotomy compare favorably to more aggressive alternatives, such as augmentation cystoplasty or urinary diversion. © 1992 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByRasmussen M, Rawashdeh Y, Clemmensen D, Tankisi H, Fuglsang-Frederiksen A, Krogh K and Christensen P (2018) The Artificial Somato-Autonomic Reflex Arch Does Not Improve Lower Urinary Tract Function in Patients with Spinal Cord LesionsJournal of Urology, VOL. 193, NO. 2, (598-604), Online publication date: 1-Feb-2015.HOULE A, VERNET O, JEDNAK R, SALLE P and FARMER J (2018) BLADDER FUNCTION BEFORE AND AFTER SELECTIVE DORSAL RHIZOTOMY IN CHILDREN WITH CEREBRAL PALSYJournal of Urology, VOL. 160, NO. 3 Part 2, (1088-1091), Online publication date: 1-Sep-1998.Schneidau T, Franco I, Zebold K and Kaplan W (2018) Selective Sacral Rhizotomy for the Management of Neurogenic Bladders in Spina Bifida Patients: Long-Term FollowupJournal of Urology, VOL. 154, NO. 2, (766-768), Online publication date: 1-Aug-1995.Koldewijn E, Van Kerrebroeck P, Rosier P, Wijkstra H and Debruyne F (2018) Bladder Compliance after Posterior Sacral Root Rhizotomies and Anterior Sacral Root StimulationJournal of Urology, VOL. 151, NO. 4, (955-960), Online publication date: 1-Apr-1994. Volume 148Issue 4October 1992Page: 1207-1210 Advertisement Copyright & Permissions© 1992 by The American Urological Association Education and Research, Inc.Keywordsurinary incontinencesacrococcygeal regionbladder, neurogenicMetricsAuthor Information Mark E. Gasparini More articles by this author Richard A. Schmidt More articles by this author Emil A. Tanagho More articles by this author Expand All Advertisement PDF DownloadLoading ..." @default.
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• W2396397805 title "Selective Sacral Rhizotomy in the Management of the Reflex Neuropathic Bladder: A Report on 17 Patients with Long-Term Followup" @default.
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