University Antwerp, Antwerp, Belgium.
Department of Urology, University Hospital Southampton and University of Southampton School of Medicine, Southampton, USA.
World J Urol. 2018 Oct;36(10):1569-1576. doi: 10.1007/s00345-018-2294-7. Epub 2018 Apr 21.
This work represents the efforts of the SIU-ICUD workgroup on this topic and comprehensive literature search of English language manuscripts regarding urologic surgery in spinal cord injury using key words of urologic surgery and spinal cord injury. Articles were compiled, and recommendations in the chapter are based on group discussion and intensive communication. The purpose is to review what has been published during the last decades on urological surgery for neurogenic bladder after spinal cord injury.
Surgical techniques applied in spinal cord injured patients for neurogenic bladder dysfunction have been reviewed and the published material evaluated.
There are several techniques that can be used to treat neurogenic dysfunctions and symptoms in refractory cases where conservative treatment failed. The number of publications is small as are the number of patients with spinal cord injury in which they have been performed. The choice of techniques proposed to the patients depends on the exact functional pathology in bladder, bladder neck and urethral sphincter. The final informed choice will be made by the patient.
There are surgical urological techniques available to treat neurologic dysfunctions in spinal cord injured patients.
本研究代表了 SIU-ICUD 工作组在该主题上的努力，并对涉及脊髓损伤泌尿科手术的英文文献进行了全面检索，使用的关键词为泌尿科手术和脊髓损伤。我们对这些文章进行了汇编，并根据小组讨论和深入交流提出了章节中的建议。本研究旨在回顾过去几十年间发表的关于脊髓损伤后神经原性膀胱的泌尿科手术相关内容。
我们回顾了应用于脊髓损伤患者治疗神经原性膀胱功能障碍的手术技术，并对已发表的资料进行了评估。
对于保守治疗失败的难治性病例，可以使用多种技术来治疗神经功能障碍和症状。发表的文献数量较少，接受这些技术治疗的脊髓损伤患者数量也较少。向患者提出的技术选择取决于膀胱、膀胱颈部和尿道括约肌的确切功能病理学。最终的知情选择将由患者做出。
对于脊髓损伤患者的神经功能障碍，存在一些可用于治疗的外科泌尿科技术。
