Re-evaluation of differential sacral rhizotomy for neurological bladder disease.
The authors describe long-term follow-up results (4 to 6 years) in 13 patients who underwent differential sacral rhizotomy for urgency incontinence. Six patients were originally presented in a preliminary report in 1973. In the last seven patients, a highly selective rhizotomy of sacral fascicles innervating only the urinary bladder was performed. Results in the original six patients appear to be superior to those in patients who underwent a more refined rhizotomy. Possible explanations for this as well as alternative approaches to the treatment of urgency incontinence are briefly discussed.
D000818:Animals; D005069:Evaluation Studies as Topic; D000882:Haplorhini; D006801:Humans; D008160:Lumbosacral Plexus; D008253:Macaca mulatta; D002679:Pan troglodytes; D013126:Spinal Nerve Roots / Q000601:surgery*; D001750:Urinary Bladder, Neurogenic / Q000601:surgery*; D014554:Urination