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Rectus abdominis detrusor myoplasty (RADM) for acontractile/hypocontractile bladder in spinal cord injury patients: Preliminary report.
J Plast Reconstr Aesthet Surg
May 2018
Plastic Surgery Unit, Department of Surgery, NSCB Government Medical College, 292/293, Napier Town, Jabalpur, 482003, MP, India.
Background: Urinary bladder dysfunction in the form of acontractile/hypocontractile bladder is very common after spinal cord injury and it may lead to recurrent urinary tract infection (UTI), stones formation, and deteriorating renal function. Conventionally, these patients evacuate their bladders by life-long clean intermittent catheterization (CIC) or an indwelling catheter (IC). For these patients, another option is to use innervated skeletal muscle wrap around the bladder to augment detrusor function and voluntary evacuation of bladder.
View Article and Find Full Text PDFCurrent pharmacological and surgical treatment of underactive bladder.
Investig Clin Urol
December 2017
Department of Urology, Eulji University Hospital, Eulji University College of Medicine, Daejeon, Korea.
Generally accepted guidelines are not yet available on the management of underactive bladder (UAB). Although the natural history of UAB is still not fully understood, observation may be an acceptable management option in patients with tolerable lower urinary tract symptoms and little risk of upper urinary tract damage. If needed, scheduled and double voiding may be recommended as an effective and safe add-on therapy.
View Article and Find Full Text PDFLatissimus dorsi detrusor myoplasty to restore voiding in patients with an acontractile bladder - fact or fiction?
Curr Urol Rep
October 2013
Department of Urology, Maastricht University Medical Centre, P. Debyelaan 25, POB 5800, 6202, AZ, Maastricht, The Netherlands,
Multiple causes at any level between the brain and the bladder can lead to diminished voiding efficiency and bladder acontractility. Treatment options for patients with an acontractile bladder have been limited as most patients were forced to perform lifelong self-catheterization at the moment. The latissimus dorsi detrusor myoplasty (LDDM) is a recent and promising therapeutic surgical option to restore adequate bladder emptying on demand.
View Article and Find Full Text PDFThe latissimus dorsi detrusor myoplasty for functional treatment of bladder acontractility.
Clin Plast Surg
October 2012
Department of Plastic, Reconstructive, Hand and Burn Surgery, Klinikum Bogenhausen, Städtisches Klinikum München GmbH, Englschalkinger Strasse 77, Munich 81825, Germany.
Patients with bladder acontractility caused by lower motor neuron lesion are generally dependent on lifelong clean intermittent catheterization with all of its inherent risks. The functional neurovascular transfer of the latissimus dorsi muscle to the pelvis allows the restoration of voluntary voiding. This article describes the operative technique, indications, preoperative considerations, and postoperative care.
View Article and Find Full Text PDFFree neurovascular transfer of latisstmus dorsi muscle for the treatment of bladder acontractility: II. Clinical results.
J Urol
April 2003
Department of Plastic and Reconstructive Surgery, Unit of Physical Medicine and Rehabilitation, University of Innsbruck Medical Center, Austria.
Purpose: Until now patients with bladder acontractility were destined to lifelong clean intermittent catheterization with all of its inherent risks. Previous experimental studies demonstrated that voluntary voiding can be restored by microneurovascular free transfer of a carefully selected muscle flap. We present the selection criteria, modifications in technique, followup schedule and long-term results in 20 patients treated with transplantation of latissimus dorsi muscle to the bladder.
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