Surgical management of the neurogenic bladder after spinal cord injury

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.

World journal of urology. 2018 Apr 21 [Epub ahead of print]

Jean-Jacques Wyndaele, Brian Birch, Albert Borau, Frank Burks, David Castro-Diaz, Emmanuel Chartier-Kastler, Marcus Drake, Osamu Ishizuka, Tomonori Minigawa, Eloy Opisso, Kenneth Peters, Barbara Padilla-Fernández, Christine Reus, Noritoshi Sekido

University Antwerp, Antwerp, Belgium. ., Department of Urology, University Hospital Southampton and University of Southampton School of Medicine, Southampton, USA., Fundació Institut Guttmann, Universitat Autónoma de Barcelona, Barcelona, Spain., Department of Urology, Beaumont Health, Oakland University William Beaumont School of Medicine, Royal Oak, USA., Urology, Universidad de La Laguna, Complejo Hospitalario Universitario de Canaris, San Cristóbal de La Laguna, Spain., Department of Urology, Pitié-Salpêtrière Academic Hospital, Assistance Publique-Hôpitaux de Paris, Pierre and Marie Curie Medical School, Sorbonne Universités, Paris, France., School of Clinical Sciences, University of Bristol, Bristol, UK., Department of Urology, Shinshu University School of Medicine, Nagano, Japan., Department of Urology, School of Medicine, Faculty of Medicine, Toho University, Toho University Ohashi Medical Center, Tokyo, Japan.