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KMID : 0358319960370050565
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Korean Journal of Urology
1996 Volume.37 No. 5 p.565 ~ p.568
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Effect of Subarachnoid Block in Hyperreflexic Bladder
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Abstract
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Hyperreflexic bladder is a disease manifested in patients with spinal cord lesions above the sacral segment. The treatment of hyperreflexic bladder are medical therapy, interruption of innervation, augmentation cystoplasty, etc.
We treated four hyperreflexic bladder patients with 12% a phenol injetion into the subarachnoid space for ssacral nerve block. Before treatment the average bladder capacity was about 100ml, and there was one case of autonomic dysreflexia. After
the
subarachnoid block the average bladder capacity increased above 300ml and maximal intravesical pressure decreased below 30cmH2O, autonomic dysreflexia disappeared in one patient. The decreased bladder compliance after nerve block was managed by
repetitive bladder overdistention. We suggest that subarachnoid block is easier and more effective than sacral nerve block individulally, and is a treatment for hyperreflexic bladder refractory to medical therapy.
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