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An artificial somatic-autonomic reflex pathway procedure for bladder control in children with spina bifida.
Chuan-Guo Xiao
1 ,
Mao-Xin Du ,
Bing Li ,
Zhao Liu ,
Ming Chen ,
Zhao-Hui Chen ,
Ping Cheng ,
Xiao-Nan Xue ,
Ellen Shapiro ,
Herbert Lepor
Jun 2005
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Abstract
Neurogenic bladder is a major problem for children with spina bifida. Despite rigorous pharmacological and surgical treatment, incontinence, urinary tract infections and upper tract deterioration remain problematic. We have previously demonstrated the ability to establish surgically a skin-central nervous system-bladder reflex pathway in patients with spinal cord injury with restoration of bladder storage and emptying. We report our experience with this procedure in 20 children with spina bifida.