HDCN Article Review/Hyperlink

Stenzl A, Ninkovic M, Kolle Dieter, Knapp R, Anderl H, Bartsch G

Restoration of voluntary emptying of the bladder by transplantation of innervated free skeletal muscle

Lancet (May) 351:1483-1485 1998

Arnulf Stenzl and colleagues were able to restore bladder emptying in 3 patients with spinal cord injury and chronic bladder overdistension bu dissecting about 2/3 of each patient's latissimus dorsi muscle and wrappint it around the bladder. At 16-30 weeks post surgery, the patients were able to voluntarily empty their bladders, and the need for further catheterisation was obviated. Residual urinary volumes were reasonable (0, 50, and 90 ml, respectively), and maximum flow rates were in the 18-26 mL/s range. CT evaluation of the bladder confirmed good function. (John T. Daugirdas, M.D., University of Illinois at Chicago)