To Investigate the Outcomes of Rectus Abdominis Flap Detrusor Myoplasty for Urinary Retention
University Hospitals Cleveland Medical Center
Summary
This investigates the outcomes of a surgical technique using the patient's own abdominal wall muscles to help contract the bladder in patients with urinary retention
Description
This study is about a surgery called Rectus Abdominis Detrusor Myoplasty (RADM). In this surgery, a small piece of the belly muscle is moved and wrapped around your bladder to help it squeeze and empty urine. Doctors are studying this surgery because current treatments, like catheters or nerve implants, don't always work for people whose bladders don't contract on their own. This study monitors the patients' progress for a year following this surgery.
Eligibility
- Age range
- 18–75 years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Hypo- or acontractility of the bladder documented on urodynamic testing * Injury \>1 year ago for spinal cord injury patients, no improvement in contractility with time * Failed sacral nerve stimulation implant for urinary retention treatment (If previously implanted) * Irreversible non-neurogenic bladder acontractility/hypocontractility (i.e myogenic failure after chronic obstruction, aging, frailty, idiopathic) * Undergoing RADM Exclusion Criteria: * Documented bladder outlet obstruction * Spinal cord lesion above T12 * Upper motor neuron lesion (i.e. multiple sclero…
Interventions
- ProcedureRectus Abdominal Detrusor Myoplasty
In this surgery, the rectus abdominis muscle will be elevated and wrapped circumferentially around the bladder to augment bladder contraction in individuals with bladder acontractility or hypocontractility.
Location
- University Hospitals Cleveland Medical CenterCleveland, Ohio