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Updated: Sep 24, 2026
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
A study on the feasibility of vesicomyotomy in patients with motor urge incontinence
P H ter Meulen1, J P Heesakkers, R A Janknegt
1Department of Urology, University Hospital Maastricht, The Netherlands.
Objective:
To study the feasibility of bladder autoaugmentation in patients with motor urge incontinence.
Patients And Methods:
The clinical and urodynamic data of 5 patients were analyzed before and after treatment. All patients suffered from unstable bladders with a variable bladder capacity. All patients had urodynamic evaluation after 3 months.
Results:
Three months after autoaugmentation 1 patient was continent while 4 were still incontinent. The continent patient had a stable bladder, whereas the others still suffered from unstable bladder contractions despite increased bladder capacity and leak point pressure.
Conclusion:
We did not succeed in abolishing bladder instability. Although our experience is limited, we cannot recommend vesicomyotomy as a routine procedure for motor urge incontinence at this time.
