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Related Experiment Videos

Indications for bladder transection

J R Hindmarsh, D M Essenhigh, W K Yeates

    Urologia Internationalis
    |January 1, 1978
    PubMed
    Summary
    This summary is machine-generated.

    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.

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    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.

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    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.