Indications for bladder transection
Urologia Internationalis
|January 1, 1978
Summary
Bladder transection surgery effectively treated adult enuretics and patients with severe daytime bladder hyperactivity. This surgical approach demonstrated significant success in resolving urgency and urge incontinence symptoms.
Area of Science:
- Urology
- Surgical Innovation
Background:
- Bladder hyperactivity, including enuresis and urge incontinence, affects many adults.
- Previous medical and surgical treatments have often proven ineffective for refractory cases.
Purpose of the Study:
- To evaluate the efficacy of bladder transection for treating bladder hyperactivity.
- To assess outcomes in adult enuretics and patients with non-neurological, non-urological urge incontinence.
Main Methods:
- A cohort of 64 patients with bladder hyperactivity underwent bladder transection over 8 years.
- Key inclusion criterion was a bladder capacity exceeding 400 ml under general anesthesia.
- Patients included adult enuretics and those with daytime hyperactivity unresponsive to other treatments.
Main Results:
- Bladder transection was highly successful in managing severe daytime urgency and urge incontinence in enuretic patients.
- Patients with frequency, urgency, and urge incontinence, without underlying abnormalities, also showed positive responses.
Conclusions:
- Bladder transection is a successful surgical option for specific adult bladder hyperactivity conditions.
- The procedure offers a viable solution for patients refractory to conservative management, particularly those with large bladder capacity.
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