[Remuscularization of the bladder in traumatic spinal cord disease]

A topographic anatomical study of 80 cadavers has suggested a new method of surgical treatment for paralytic neurogenic bladder developing as a result of an injury of lumbosacral regions of the spine or horse-tail roots. The method consists in the remuscularization of neurogenic bladder by grafts, tailored from the outer parts of abdominal musculus rectus with supplying lower epigastric vessels. Twenty-one operations were performed using this method. Controlled micturition was recovered within 3 or 4 weeks. The volume of residual urine never exceeded 50 ml. Pyelonephritic attacks ceased.