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Laparoscopic bladder auto-augmentation in an incomplete traumatic spinal cord injury
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SIRACUSANO S; TROMBETTA C; LIGUORI G
SPINAL CORD , 2000, vol. 38, n° 1, p. 59-61 Doc n°: 94740 Localisation : Centre de Réadaptation de Lay St Christophe , en ligne Descripteurs : AH23 - INCONTINENCE URINAIRE, AE21 - ORIGINE TRAUMATIQUE Url : http://www.nature.com/sc/archive/index.html Objectives: To assess the urodynamic and clinical outcome of a laparoscopic autoaugmentated bladder. Methods: Laparoscopic bladder autoaugmentation in a 27-year-old woman with an incomplete spinal cord injury at T12 level with urge incontinence caused by a hyperreflexic bladder. Results: Six months later the patient voids by Valsalva's manoeuvre every 3 h and remains dry day and night. The radio-urodynamic study, performed 2 months later, revealed an intact bladder with a diverticulum of anterior wall and a capacity of 510 ml with filling rate of 100 ml/min without evidence of leakage of infusion water. Conclusion: Laparoscopic retropubic auto-augmentation allows a brief hospital stay and minor postoperative discomfort. Moreover the laparoscopic approach should not complicate or preclude subsequent enterocystoplasty if necessary. Langue : ANGLAIS Identifiant basis : 2000210639 |
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