A study on the feasibility of vesicomyotomy in patients with motor urge incontinence.

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.