Neurogenic bladder of paraplegic patients: Management with radical Y-V-plasty.
In an effort to relieve subvesical resistance in the established paraplegic with unacceptable neurogenic vesical dysfunction while simultaneously preserving potency, a radical Y-V-plasty was carried out in 5 patients. The operation was successful in achieving low residual urines and freedom from clinically evident urinary tract infection without unfavorably affecting potency, but it committed the patients to a dependency on a condom appliance which some were unable to tolerate satisfactorily. The procedure is thought to have merit in selected cases; but whenever it is comtemplated, a trial with a condom catheter preoperatively is recommended.
D000328:Adult; D006801:Humans; D008297:Male; D008722:Methods; D010264:Paraplegia / Q000150:complications*; D011859:Radiography; D013518:Surgery, Plastic; D014521:Urethra / Q000601:surgery; D001743:Urinary Bladder / Q000000981:diagnostic imaging; D001750:Urinary Bladder, Neurogenic / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D014546:Urinary Catheterization