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  • Title: A study on the feasibility of vesicomyotomy in patients with motor urge incontinence.
    Author: ter Meulen PH, Heesakkers JP, Janknegt RA.
    Journal: Eur Urol; 1997; 32(2):166-9. PubMed ID: 9286647.
    Abstract:
    OBJECTIVE: To study the feasibility of bladder autoaugmentation in patients with motor urge incontinence. PATIENTS AND METHODS: The clinical and urodynamic data of 5 patients were analyzed before and after treatment. All patients suffered from unstable bladders with a variable bladder capacity. All patients had urodynamic evaluation after 3 months. RESULTS: Three months after autoaugmentation 1 patient was continent while 4 were still incontinent. The continent patient had a stable bladder, whereas the others still suffered from unstable bladder contractions despite increased bladder capacity and leak point pressure. CONCLUSION: We did not succeed in abolishing bladder instability. Although our experience is limited, we cannot recommend vesicomyotomy as a routine procedure for motor urge incontinence at this time.
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