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Related Experiment Video

Updated: May 19, 2026

Detrusor Underactivity Model in Rats by Conus Medullaris Transection

Detrusor Underactivity Model in Rats by Conus Medullaris Transection

Published on: August 28, 2020

Detrusor myectomy: long-term functional outcomes.

Muhammad Z Aslam¹, Meena Agarwal

¹Department of Urology, University Hospital of Wales, Cardiff, UK. mzaslam77@yahoo.com

International Journal of Urology : Official Journal of the Japanese Urological Association

|August 3, 2012

Summary

This summary is machine-generated.

Detrusor myectomy provides a reasonable long-term success rate for patients with refractory detrusor overactivity. This surgical treatment improved bladder capacity and reduced involuntary contractions in over half of the patients studied.

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Last Updated: May 19, 2026

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Published on: July 18, 2025

Area of Science:

Urology
Surgical Procedures

Background:

Detrusor myectomy is a surgical option for managing refractory detrusor overactivity.
Long-term outcomes of this procedure are important for clinical decision-making.

Purpose of the Study:

To evaluate the long-term outcomes of detrusor myectomy for refractory detrusor overactivity.
To assess the efficacy and success rates of this surgical intervention.

Main Methods:

A cohort of 33 patients with urodynamically proven detrusor overactivity underwent detrusor myectomy between 1995 and 2002.
Patients included those with idiopathic and neurogenic detrusor overactivity.
Follow-up averaged 148 months.

Main Results:

Overall success rate was 48.5% (16/33 patients).
Marked symptom improvement was observed in 55.5% of idiopathic and 40% of neurogenic cases.
Mean cystometric capacity increased significantly, and mean maximum detrusor contraction amplitude decreased.

Conclusions:

Detrusor myectomy offers a reasonable long-term success rate for treating refractory detrusor overactivity.
The procedure can lead to significant improvements in bladder function and patient symptoms.