Neuromodulation of the superior hypogastric plexus: a new option to treat bladder atonia secondary to radical pelvic surgery?
BACKGROUND
The aim of this study is to report on the impact of neuromodulation to the superior hypogastric plexus in patients with bladder atonia secondary to pelvic surgery.


METHODS
In 4 consecutive patients with bladder atonia secondary to pelvic surgery, we performed a laparoscopic implantation of a neurostimulator--LION procedure--to the entire superior hypogastric plexus.


RESULTS
Of the 4 reported patients, 3 are able to partially void or empty their bladder.


CONCLUSIONS
If the presented results could be obtained in further patients and maintained in long-term follow-up, the LION procedure to the superior hypogastric plexus could change the management of bladder function in patients with bladder atonia.
Possover
Marc
M
Department of Surgical Gynecology & Neuro-Pelveology, Hirslanden Clinic, CH-8032 Zürich, Switzerland. marcpossover@aol.com
Chiantera
Vito
V
D000328:Adult; D003108:Colonic Diseases / Q000601:surgery; D004599:Electric Stimulation Therapy / Q000295:instrumentation* / Q000379:methods; D016889:Endometrial Neoplasms / Q000601:surgery; D004715:Endometriosis / Q000601:surgery; D004867:Equipment Design; D005260:Female; D005500:Follow-Up Studies; D005831:Genital Diseases, Female / Q000601:surgery*; D006801:Humans; D007001:Hypogastric Plexus / Q000503:physiopathology*; D007044:Hysterectomy; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D010148:Intractable Pain / Q000503:physiopathology / Q000628:therapy; D017699:Pelvic Pain / Q000503:physiopathology / Q000628:therapy; D011183:Postoperative Complications / Q000503:physiopathology / Q000628:therapy*; D011468:Prostatectomy; D011471:Prostatic Neoplasms / Q000601:surgery*; D012002:Rectal Diseases / Q000601:surgery; D001743:Urinary Bladder / Q000294:innervation*; D001750:Urinary Bladder, Neurogenic / Q000503:physiopathology / Q000628:therapy*; D014563:Urodynamics / Q000502:physiology