Detrusor hyper-reflexia as a factor in spontaneous perforation of augmentation cystoplasty for neuropathic bladder.

作者: P. A. M. ANDERSON , A. M. K. RICKWOOD

DOI: 10.1111/J.1464-410X.1991.TB15112.X

关键词: MedicinePerforation (oil well)Spontaneous PerforationUrologySurgeryUrinary bladderHigh pressureAugmentation cystoplastyRisk factorHypertoniaNeuropathic bladder

摘要: Summary— In a series of 30 children undergoing cystoplasty for neuropathic bladder, 14 had combination competent sphincteric mechanism and detrusor hyper-reflexia. All 3 cases spontaneous perforation the augmentation occurred within this latter group it is postulated that excessive intravesical pressure due to high hyper-reflexia was causal factor. Strategies reduce risk are discussed.

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