title: [Surgical therapy of voiding disorders in patients suffering from spinal cord injury (author's transl)].
abstract: The development of modern urodynamic examinations permits improved differentiation of bladder voiding disturbances in paraplegic patients. This allows surgical approaches to be more specific and individually oriented. Transurethral intervention at the closure mechanism of the urethra is indicated prior to the appearance of secondary alterations of the urinary tract. Surgical intervention should bring about bladder emptying in which the pressure-flow relationship approaches nearly physiologic values. Even when advanced secondary alterations are present, effective improvement is possible under avoidance of major surgery. It is preferable to bring these patients together in specialized departments. Regular, annual urodynamic follow-up investigations are important since they appear to improve the prognosis of the paraplegic patient.
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010264:Paraplegia / Q000534:rehabilitation*; D013119:Spinal Cord Injuries / Q000534:rehabilitation*; D014555:Urination Disorders / Q000601:surgery*
vernacular_title: Die operative Behandlung der Blasenentleerungsstörung beim Querschnittgelähmten.