Ureteric reflux in the paraplegic

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

doi:10.1002/bjs.18004720610

Cited by 17 publications

(7 citation statements)

References 18 publications

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“…The important word is progressive. As is well known, hydro nephrosis may be present for many years without detrimental change-indeed, as has been shown on previous occasions, both hydronephrosis and ureteric reflux may be lable conditions, sometimes appearing without obvious cause and later spontaneously disappearing (Cosbie Ross, Gibbon & Damanski, 1960).…”

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confidence: 79%

Diversion of the urine in paraplegia

1967

Spinal Cord

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Liverpool [T was Isak Dineson who said in Seven Gothic Tales ' ... What is man, when you come to think of him, but a minutely set, ingenious machine for turning with infinite artfulness, the red wine of Shiraz into urine?' This may be a somewhat cynical view of life, but those clinicians dealing with patients with paraplegia are fully conscious of the great importance of the secretory function, and of the fact that should death occur at a later stage the cause is usually renal failure. It would appear that the problem of diversion in the adult is somewhat different to that in the child and it is the purpose of this communication to deal with adults only. There is, however, no doubt that diversion of the urine is rarely needed in the adult neurogenic bladder, and over many years at the Southport Centre the writer has carried out this surgical procedure on few occasions only (20 patients out of a total of 567 cases since 1948).

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confidence: 79%

Diversion of the urine in paraplegia

1967

Spinal Cord

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“…In the presence of chronic cystitis, vesico ureteric reflux is often associated with recurring ascending pyelonephritis. The condition is reversible by the elimination of residual urine and infection provided that the bladder wall has not been damaged by inflammatory fibrosis or sacculation (Ross et al, 1960). In selected cases an anti-reflux operation is called for.…”

Section: Complicationsmentioning

confidence: 99%

Later management of the paraplegic bladder

Gibbon

1974

Spinal Cord

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“…In some late cases obstruction develops at the level of the membraneous urethra, due to angulation or rigidity. This was first emphasised by Watkins (1936) and provided the first indication for division of the external urethral sphincter (Ross et al, 1957). In supra-sacral (upper motor neurone, or supra-nuclear) lesions the factors causing a high residual urine are not so obvious, especially when one considers the efficiency of the infant's uncontrolled bladder.…”

Section: Rationale Of Bladder-neck Resection In Paraplegiamentioning

confidence: 99%