PERMANENT EXTERNAL STRIATED SPHINCTER STENTS IN PATIENTS WITH SPINAL-INJURIES

被引:44
作者
SHAW, PJR
MILROY, EJG
TIMONEY, AG
ELDIN, A
MITCHELL, N
机构
[1] ST PETERS HOSP,INST UROL,LONDON WC2A 2EX,ENGLAND
[2] ROYAL NATL ORTHOPAED HOSP,INST UROL,LONDON W1N 6AD,ENGLAND
[3] MIDDLESEX HOSP,LONDON W1,ENGLAND
[4] MEDINVENT SA,LAUSANNE,SWITZERLAND
来源
BRITISH JOURNAL OF UROLOGY | 1990年 / 66卷 / 03期
关键词
D O I
10.1111/j.1464-410X.1990.tb14931.x
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Summary— Nine patients with complete quadriplegia underwent external striated sphincter stenting with the Wallstent in place of an external striated sphincterotomy. Although suprapubic catheters were placed to provide an outlet should problems develop with the stent, they were successfully removed within 6 weeks in all but 1 patient. Complete bladder emptying with reduced voiding pressures was achieved, together with a significant reduction in the duration of hyper‐reflexic contractions. Epithelialisation of the stent was almost complete within 3 months and intermittent catheterisation or endoscopy (and resection) is possible through the stent. Although this is a preliminary report of this new technique, it is hoped that sphincter stenting will provide a rapid, safe and effective method of treating high pressure hyper‐reflexia and detrusor sphincter dyssynergia in quadriplegic patients. Based on a Poster Demonstration at the 45th Annual Meeting of the British Association of Urological Surgeons inStHelier, June l989 © 1990 British Journal of Urology
引用
收藏
页码:297 / 302
页数:6
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