Urologia Internationalis
Original Paper
Bladder Neck Anesthesia and Resection in Women with Detrusor HyperreflexiaPetersen T.a · Erichsen C.baDepartment of Neurology, and bDepartment of Urology, Aarhus Kommunehospital, University Hospital of Aarhus, Denmark
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Article / Publication Details
Received: March 03, 1987
Accepted: March 11, 1987
Published online: February 02, 2010
Issue release date: 1987
Number of Print Pages: 5
Number of Figures: 0
Number of Tables: 0
ISSN: 0042-1138 (Print)
eISSN: 1423-0399 (Online)
For additional information: https://www.karger.com/UIN
Abstract
Nineteen women with detrusor hyperreflexia were investigated urodynamically before and 3 months after bladder neck resection. In the case of the first 10 patients bladder neck anesthesia was performed before resection. In only 2 patients urodynamic reactions to anesthesia and to resection were similar and related to the effect of the resection. In 11 patients bladder neck resection improved voiding symptoms and a significant reduction in the urinary incontinence was found. Bladder neck resection was followed by a significant increase in the effective bladder volume and the bladder volume at first detrusor hyperreflexia. An insignificant reduction in the residual urine of 13 % was observed after bladder neck resection but the distance to maximal urethral closure pressure and the area of the functional part of the urethral pressure profile was significantly reduced.
© 1987 S. Karger AG, Basel
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Article / Publication Details
Received: March 03, 1987
Accepted: March 11, 1987
Published online: February 02, 2010
Issue release date: 1987
Number of Print Pages: 5
Number of Figures: 0
Number of Tables: 0
ISSN: 0042-1138 (Print)
eISSN: 1423-0399 (Online)
For additional information: https://www.karger.com/UIN
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