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Endoscopic bladder transection for detrusor instability.

M G Lucas1, D G Thomas

  • 1Department of Urology, Lodge Moor Hospital, Sheffield.

British Journal of Urology
|June 1, 1987
PubMed
Summary
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Endoscopic bladder transection offered limited success for intractable detrusor instability. Most patients saw no improvement, leading to the abandonment of this surgical treatment for bladder control issues.

Area of Science:

  • Urology
  • Surgical Innovation

Background:

  • Detrusor instability significantly impacts patient quality of life.
  • Intractable cases require effective treatment options.

Purpose of the Study:

  • To evaluate the efficacy of endoscopic bladder transection for intractable detrusor instability.

Main Methods:

  • Eighteen patients with intractable detrusor instability underwent endoscopic bladder transection.
  • Outcomes were assessed based on symptomatic relief, continence, urgency, and nocturia.

Main Results:

  • Complete symptomatic relief was achieved in 2 patients (11%).
  • Two patients (11%) gained continence but still experienced urgency and nocturia.
  • Fourteen patients (78%) showed no improvement following the procedure.

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Conclusions:

  • Endoscopic bladder transection demonstrates low efficacy for treating intractable detrusor instability.
  • The procedure is not recommended due to poor outcomes and has been abandoned for this indication.