Possover Marc, Chiantera Vito
Department of Surgical Gynecology & Neuro-Pelveology, Hirslanden Clinic, CH-8032 Zürich, Switzerland.
Surg Neurol. 2009 Dec;72(6):573-6. doi: 10.1016/j.surneu.2009.06.009.
The aim of this study is to report on the impact of neuromodulation to the superior hypogastric plexus in patients with bladder atonia secondary to pelvic surgery.
In 4 consecutive patients with bladder atonia secondary to pelvic surgery, we performed a laparoscopic implantation of a neurostimulator--LION procedure--to the entire superior hypogastric plexus.
Of the 4 reported patients, 3 are able to partially void or empty their bladder.
If the presented results could be obtained in further patients and maintained in long-term follow-up, the LION procedure to the superior hypogastric plexus could change the management of bladder function in patients with bladder atonia.
