Bladder-neck resection in the paraplegic—Report on over 100 cases

Gibbon, Norman; Ross, J. Cosbie; Damanski, M.

doi:10.1038/sc.1964.44

Cited by 18 publications

(5 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Operative removal of the obstruction at the bladder neck by resection with or without division of the external sphincter is employed once the acute infection has settled (Gibbon, Ross & Damanski 1965). Urinary diversion to overcome obstruction is less commonly required (Ross 1967).…”

Section: Table IImentioning

confidence: 99%

“…In the acute stage of pyelonephritis in addition to the above measures, antibiotics and free closed drainage of the urinary tract are needed. Operative removal of the obstruction at the bladder neck by resection with or without division of the external sphincter is employed once the acute infection has settled (Gibbon, Ross & Damanski 1965). Urinary diversion to overcome obstruction is less commonly required (Ross 1967).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Surgical Management of the Neurogenic Bladder and its Complications

Jameson

1969

Int J Clinical Practice

View full text Add to dashboard Cite

Section: Table IImentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Surgical Management of the Neurogenic Bladder and its Complications

Jameson

1969

Int J Clinical Practice

View full text Add to dashboard Cite

“…The special problems attached to this type of dysfunction-in addition to the difficulties encountered in the selection of patients suitable for operation-may be the cause of less satisfactory results obtained in multiple sclerosis ( D a m a n s k i & Kerr 1964, Ross et al 1964, Gibbon et al 1965. The results reported have generally been satisfactory, but the reports suggest that as far as both the indications and the assessment of the results are concerned, attention has only to a minor extent been focused on the hyperactive part of the bladder dysfunction.…”

mentioning

confidence: 99%

“…Most of the papers on this subject (Emmett 1940, 1945, 1947, Emmett & Bisquertt 1947, Thompson et al 1947, Dees 1948, Emmett et al 1951, Comarr 1954, Bors 1957, Bunts 1958, Emmett & Greene 1963, Damanski & Kerr 1964, Leruitte 1964, Ross et'al. 1964, Gibbon et al 1965, Magasi & Ruszinko 1965 are concerned with traumatic and only a few with non-traumatic cases.…”

mentioning

confidence: 99%

“…In nontraumatic cases, including those of multiple sclerosis in which the patients nearly always reveal partially uninhibited neurogenic bladder dysfunction, the problems are also concerned with difficulty in voiding, but the main problem is urge incontinence. The special problems attached to this type of dysfunction-in addition to the difficulties encountered in the selection of patients suitable for operation-may be the cause of less satisfactory results obtained in multiple sclerosis ( D a m a n s k i & Kerr 1964, Ross et al 1964, Gibbon et al 1965.…”

mentioning

confidence: 99%

See 1 more Smart Citation

RESECTION OF THE BLADDER NECK IN MULTIPLE SCLEROSIS: A Clinical and Pathophysiological Study

Pedersen

Grynderup

Jakobsen

1972

Acta Neurologica Scandinavica

View full text Add to dashboard Cite

Within seven years, 139 patients with multiple sclerosis or allied disorders were treated with transurethral resection for stenosis of the bladder neck. Six-month follow-ups wcre performed in 134 patients alive at that time. At the follow-up, one quarter of the patients were practically symptom-free, and a total of three quarters were improved. The results were best in the group without incontinence. However, among 99 patients with urge incontinence, more than one third had become continent, and in another quarter the incontinence had decreased. After the resection, cystometry showed depression of the reflex activity in the detrusor muscle evidenced by reduced pressure and an increased threshold of the uninhibited contractions. It is reasonable to correlate this finding to the effect on urge incontinence. Bladderneck stenosis must be suspected in multiple sclerosis patients with difficulty in bladder emptying not referable to acute aggravation of the disease, and 'in patients with urge incontinence in whom drug therapy has not had a satisfactory effect. The least satisfactory results must be expected in patients in a poor general condition, or with rapid progression of the neurological manifestations, or with severe mental deterioration, but none of these conditions can be said to constitute a contra-indication to resection.

show abstract