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  • Title: Selective sacral rhizotomy for the management of neurogenic bladders in spina bifida patients: long-term followup.
    Author: Schneidau T, Franco I, Zebold K, Kaplan W.
    Journal: J Urol; 1995 Aug; 154(2 Pt 2):766-8. PubMed ID: 7609174.
    Abstract:
    Selective sacral rhizotomy was introduced for the management of high pressure neurogenic bladders commonly encountered in myelodysplastic patients. In 1992, 2 of us (I.F. and W.K.) first reported results with selective sacral rhizotomy and cord untethering in 8 spina bifida patients. We report long-term followup of our original 8 patients and 3 additional patients. This followup demonstrates remarkable success in maintaining bladder volume and low pressures after rhizotomy and cord untethering. Uninhibited contractions resolved in all patients postoperatively. A more favorable response occurred in the patients younger than 9 years, supporting early intervention with selective sacral rhizotomy.
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