OBJECTIVES: @entity427 after @entity1566 may cause @entity322 and @entity177 . In @entity1 refractory to conservative treatment and not eligible for ventral sacral root stimulation for electrically induced micturition, we investigated the therapeutic value of sacral bladder denervation as a stand-alone procedure. METHODS: Nine @entity1 (8 @entity1 and 1 @entity1 ) between 21 and 58 years old (mean 30.2) with traumatic suprasacral spinal cord lesions underwent sacral bladder denervation for treatment of @entity12805 . RESULTS: @entity427 and @entity12805 were eliminated in all cases. Bladder capacity increased from 177.8 +/- 39.6 to 668.9 +/- 64.3 mL; intravesical pressure decreased from 89.3 +/- 19.1 to 20.2 +/- 2.7 cm @entity2507 . For facilitating clean intermittent catheterization (CIC), 4 @entity1 received a continent vesicostomy in a second-stage procedure; one of them in combination with bladder augmentation. Four @entity1 empty their bladder by way of urethral CIC. One completely tetraplegic @entity1 has an indwelling urethral catheter. In the 5 @entity1 with @entity551 was lowered from 196 +/- 16.9 to 124 +/- 9.3 mm Hg and the diastolic blood pressure from 114 +/- 5.1 to 76 +/- 5.1. The annual frequency of urinary tract infections decreased from 9 +/- 1.2 to 1.8 +/- 0.7. In all @entity1 , renal function remained stable. CONCLUSIONS: In selected @entity1 with @entity12805 , sacral bladder denervation is a valuable treatment option. It is only moderately invasive in nature, requires neither sophisticated nor expensive medical equipment, and is an attractive alternative to urinary diversion using intestinal segments.

Sacral bladder denervation for treatment of XXXX and @entity12805 .

@entity1 :: ('9606', 'Species') :: ['woman', 'patients', 'patient', 'men'] @entity322 :: ('MESH:D014549', 'Disease') :: ['urinary incontinence'] @entity177 :: ('MESH:D051437', 'Disease') :: ['chronic renal failure'] @entity551 :: ('MESH:D007022', 'Disease') :: ['autonomic dysreflexia, the systolic blood pressure'] @entity2507 :: ('CHEBI:33813', 'Chemical') :: ['H(2)O'] @entity1566 :: ('MESH:D013119', 'Disease') :: ['spinal cord injury'] @entity12805 :: ('MESH:D020211', 'Disease') :: ['detrusor hyperreflexia and/or autonomic dysreflexia', 'autonomic dysreflexia'] @entity427 :: ('MESH:D012021', 'Disease') :: ['Detrusor hyperreflexia']
@entity427 :: (MESH:D012021,Disease) :: ['detrusor hyperreflexia']
