TRANSURETHRAL PROCEDURES REMOVING SUBVESICAL OBSTACLE IN PATIENTS WITH DAMAGE TO THE SPINAL CORD AND NERVE ROOTS Article published in Urologia Polska 1990/43/3.
authors
-
Andrzej Bohatyrewicz, Harald Burgdoerfer
- Z Katedry i Kliniki Ortopedii Pomorskiej Akademii Medycznej w Szczecinie
Kierownik: prof. dr hab. med. T. Zuk
Z Centrum Leczenia Paraplegii w Hamburgu
Kierownik: dr med. G. Exner
summary
- Methods of operative management undertaken for removing siubvesical obstacles in patients with damage to the spinal cord and nerve roots are discussed. The indications to and the type of the transurethral procedures are established mainly according to the results of Urodynamic investigations and micturition cystourethrography. The correlations are discussed between the fre±uency of these procedures and their combinations, on the one hand, and the degree and level of cord and root damage, age and sex, and the time between damage devlopment and operation, on the other hand. A favorable effect was demonstrated of removal of subvesical obstacle on the cessation of vesicoureteral reflux and vesicorenal reflux.
references
- 1. Bohatyrewicz A., Burgdoerfer H.: Współczesne zasady postępowania urologicznego u chorych z urazowym uszkodzeniem kręgosłupa i rdzenia kręgowego. Pol. Tyg. Lek. (w druku). ? 2. Burka J., Kłosiński P.: Problem leczenia współistniej±cych złamań kręgosłupa i porażeń pęcherza moczowego. Urol. Pol., 1987,, 40, 4, 285. ?
- 1.Haftek J.: Urazy kręgosłupa i rdzenia kręgowego. PZWL, Warszawa, 1986, 132. ?
- 2.International Reflux Study Committee: Medical versus surgical treatment of
- primary vesicoureteral reflux. Prospective international reflux study in children.
- J. Urol., 1981, 125, 277,. ? 5. Madersbacher H., Scott F. B.: The twelve o'olock
- sphincterotomy: techni±ue, indications, results. Paraplegia, 1976, 13, 2S1. ? 6. Mei-
- necke F. W.; Bericht ueber die Unfallmiedizinisiche Tagung in Reinbek am 3?4
- November 1983. Hauptverband der gawerblichen Berufagenosisenschaften. Boran,
- 1984, 303,. ? 7. Stoehrer M.: Urologie bei Rueokemmarikverletziten. Springer. Berlin,
- 1979, 8(1. ? 8. Stoehrer M.: Blaisenlaehmung. Thiema. Stuttgart, New York, 1984,
- 111. ? 9. Turner-Warwick R., Whiteside C. G., Worth P. H. L., Milroy E. J. G.,
- Bates C. P.: A urodynamic view of the clinical problems associated with bladder
- neck dysfunction and its treatment by endoscopic incision and trans-trigonal
- posterior prostatectomy. Brit. J. Urol., 1973, 45, 44.
|