[Partial denervation of the bladder--last resort in the treatment of motor urge incontinence].
In 21 women suffering from a severe motoric urge syndrome have been operated on with partial denervation of the urinary bladder according to Ingelman-Sundberg. The procedure was performed in 18 women unilaterally and in 3 bilaterally. Because of combined urge-stress-incontinence in 3 cases the plastic repair of pelvic floor was performed additionally with the unilateral nerve resection. With 5 recurrencies there has been a success rate of 75%. Out of 5 recurrencies 3 patients have been operated on twice, in 2 of them successively. The method founded by Ingelman-Sundberg is recommended as a ultima ratio for patients suffering from severe motoric urge syndrome which does not respond to conservative treatment.
D003131:Combined Modality Therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D009121:Muscle Denervation; D012008:Recurrence; D001743:Urinary Bladder / Q000294:innervation*; D014549:Urinary Incontinence / Q000601:surgery*; D014563:Urodynamics
Die partielle Denervierung der Harnblase--Ultima ratio in der Behandlung des motorischen Urge-Syndroms.