Juma S, Niku S D, Brodak P P, Joseph A C
Division of Urology, University of California, San Diego Medical Center.
Paraplegia. 1994 Sep;32(9):616-21. doi: 10.1038/sc.1994.97.
Neuropathic voiding dysfunction with detrusor sphincter dyssynergia (DSD) is a common complication of spinal cord injury (SCI) and multiple sclerosis. Sphincterotomy has been recommended for treatment of DSD if the patient lacks the ability to do intermittent self catheterization. We report our preliminary results of the Urolume urethral wallstent for the treatment of DSD in 10 patients. The insertion technique proved simple, with a short hospital stay and low morbidity; however, its long term safety has not yet been established.
伴有逼尿肌括约肌协同失调(DSD)的神经源性排尿功能障碍是脊髓损伤(SCI)和多发性硬化症的常见并发症。如果患者缺乏间歇性自我导尿的能力,推荐行括约肌切开术治疗DSD。我们报告了使用Urolume尿道支架治疗10例DSD患者的初步结果。插入技术简单,住院时间短且发病率低;然而,其长期安全性尚未确立。