Artificially produced urinary incontinence preparatory to enterocystoplasty of the small tuberculous bladder associated with severe renal insufficiency due to vesico-ureteric reflux. Long-term results.
The small contracted tuberculous bladder is often associated with vesico-uretenic reflux which, from the resultant ureteric and pelvic dilatation, is responsible in many cases for severe renal insufficiency which contraindicates entercystoplasty. In order to improve kidney function and consequently render plastic enlargement of the bladder feasible, it may be useful to induce complete incontinence of urine by means of wide TUR of the bladder neck extending to the external sphincter. By eliminating back pressure in the urinary tract, incontinence produces a regression of this dilatation and improved renal function. Following enterocystoplasty perfect continence is restored.
D058186:Acute Kidney Injury / Q000209:etiology; D003106:Colon / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008722:Methods; D014401:Tuberculosis, Urogenital / Q000150:complications* / Q000601:surgery; D001743:Urinary Bladder / Q000601:surgery*; D001745:Urinary Bladder Diseases / Q000150:complications / Q000601:surgery*; D014549:Urinary Incontinence; D014554:Urination; D014718:Vesico-Ureteral Reflux / Q000150:complications*