Colombel P, Egon G, Isambert J L
Centre de l'Arche, Le Mans-Saint-Saturnin.
Prog Urol. 1992 Feb;2(1):41-9.
The authors analyse the first 25 patients with spinal cord injuries treated by G. Brindley's technique based on section of the posterior sacral nerve roots to control detrusor hyperexcitability and electrostimulation of the anterior sacral nerve roots to ensure bladder emptying and to facilitate erection and defecation. The indications for this technique are essentially unstable bladders with incontinence and certain hypoactive bladders. The following results were obtained: Acquisition of continence in 90% of cases. Bladder capacity was always greatly increased. Almost complete bladder emptying in the majority of cases. Very marked reduction in urinary tract infection. Regularization of intestinal transit. The complications of this surgery were uncommon but serious: C.S.F. leaks, Postoperative denervations. Sepsis. Material or cable failure.
作者分析了采用G. 布林德利技术治疗的首批25例脊髓损伤患者，该技术基于切断骶后神经根以控制逼尿肌过度兴奋，并对骶前神经根进行电刺激以确保膀胱排空、促进勃起和排便。这项技术的适应症主要是伴有尿失禁的不稳定膀胱和某些膀胱活动减退的情况。获得了以下结果：90%的病例实现了控尿。膀胱容量总是大幅增加。大多数病例几乎完全排空膀胱。尿路感染显著减少。肠道蠕动正常化。该手术的并发症并不常见但很严重：脑脊液漏、术后去神经支配、脓毒症、材料或电缆故障。
