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Modified Ingelman-Sundberg bladder denervation procedure for intractable urge incontinence
R D Cespedes1, C A Cross, E J McGuire
1Divison of Urology, University of Texas Medical School at Houston, USA.
The Journal of Urology
|November 1, 1996
Summary
The modified Ingelman-Sundberg procedure effectively treats urge incontinence and detrusor instability in women. This surgical option offers good results with minimal complications for patients refractory to other treatments.
Area of Science:
- Urology
- Gynecology
Background:
- Urge incontinence and detrusor instability significantly impact quality of life.
- Medical and behavioral therapies often fail to provide lasting relief.
Purpose of the Study:
- To evaluate the efficacy of the modified Ingelman-Sundberg procedure for urge incontinence and detrusor instability.
- To assess the surgical option in women with refractory symptoms.
Main Methods:
- Transvaginal bladder denervation using the modified Ingelman-Sundberg procedure was performed.
- Patients received local anesthesia to block pelvic nerve branches to the bladder.
- Preoperative urodynamic evaluation was conducted, though documented detrusor instability was not mandatory for surgery.
Main Results:
- 64% of patients were cured of urge incontinence with relief of detrusor instability.
- Follow-up showed no need for further surgery in cured patients.
- Significant reduction in anticholinergic medication use was observed, with no major complications.
Conclusions:
- The modified Ingelman-Sundberg procedure is an excellent surgical option for urge incontinence and refractory detrusor instability.
- The procedure offers good outcomes and minimal morbidity.
- It provides a valuable treatment choice for patients with limited therapeutic options.