[A new method for the surgical treatment of paralytic neurogenic bladder]

As a result of topographo-anatomical examination of 30 cadavers, the authors suggest a new method for the surgical management of the paralytic form of neurogenic bladder developing in traumatic injury of the lumbar-sacral segments of the spinal cord or the cauda equina roots. The method consists in remuscularization of the neurogenic bladder by means of grafts formed from the lateral parts of the rectus abdominis muscles together with the inferior epigastric vessels supplying them. The method was used in operations of 14 patients. The period of restoration of controlled micturition ranged from 3 to 4 weeks. The volume of residual urine did not exceed 50 ml and reduced to zero with time. The outbreaks of pyelonephritis ceased.