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  • Title: [Impaired statics of bladder and urethra in some lower motor neurobladders and its treatment by colocystopexia (author's transl)].
    Author: Archimbaud JP, Spay G, Buzelin JM, Willot JP, Abourachid H.
    Journal: J Urol Nephrol (Paris); 1976 Mar; 82(3):231-9. PubMed ID: 1011342.
    Abstract:
    In spite of sphincter paralysis, the peripheric moto-neurone lesions induces bladder retention. Secondary retention forces fail to open the bladder neck owing to detrusor flaccidity. Long-dated, abdominal straining increases this static dysfunction by inducing posterior bladder prolapsus upon a flaccid perineum. This disorder est characterized by three components: --posterior prolapsus of the bladder, --horizontal position of the proximal urethra, --deepening of Douglas peritoneum. These patients may get a micturation using a perineal compression; similarly, surgical management consists in a making-up and fastening of the bladder by means of the rectum which is used as a hammack (colocystopexia). The procedure had been used in five cases with good results.
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