title: Treatment of detrusor instability of the urinary bladder by selective sacral blockade.
abstract: Detrusor instability and its associated incontinence frequently impair activity and the results of pharmacological and operative treatment have often been unsatisfactory. Twenty-two patients with idiopathic detrusor instability were treated by selective local anaesthesia of both sacral roots S3. The follow-up period ranged from 4 months to 2 years. In patients with neuropathic detrusor instability, local anaesthesia had no permanent effect, but in four such cases it was possible to achieve continence by permanent blockade of S3 using phenol injections. A disadvantage of the latter procedure was that bladder emptying was achieved only by manual abdominal compression or catheterisation.
mesh_terms: D005260:Female; D006801:Humans; D009407:Nerve Block; D010865:Pilot Projects; D013116:Spinal Cord; D001743:Urinary Bladder / Q000294:innervation; D014549:Urinary Incontinence / Q000628:therapy; D014554:Urination; D014555:Urination Disorders / Q000628:therapy*