Téma: Overview works

Dorsal rhizotomy – surgical deafferention of urinary bladder

Martin Benčo1, Július De Riggo1, Branislav Kolarovszki1, Ján Ľupták2, Ján Švihra2, Yvetta Mellová3

Objective: Transversal spinal cord lesion (TLM) leads to irreversible loss of motor and sensor functions under the place of lesion of spinal cord and to change in the function of the excretory organs, which is a potential risk of kidney damage. In this article we analyze the possibilities of surgical deafferention of urinary bladder as a prevention of kidney damage after TLM. Material and methods: Based on the literary review the authors summarize and compare currently used surgical procedures of deafferention of urinary bladder. The anatomy of the spine and the surgical procedure is presented on the cadaver. Results: Surgical deafferention of urinary bladder can be performed on conus medullaris of spine, on roots of cauda equina or on spinal ganglia. Conclusion: Surgical deafferention of urinary bladder is one of the therapeutic options for the treatment of neurogenic lesion of the urinary bladder after TLM and is adequate prevention of kidney damage.

Ročník 2009  Témy časopisu Clinical urology 3 / 2009

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