Detrusor myectomy; surgical procedure performed to treat severe bladder dysfunction скачать в хорошем качестве

Detrusor myectomy; surgical procedure performed to treat severe bladder dysfunction

Detrusor myectomy is a rare and specialized surgical procedure performed to treat detrusor overactivity, particularly in patients with neurogenic bladder who do not respond to conservative treatments like medications or botulinum toxin injections. 🧠 What Is Detrusor Myectomy? It involves removing strips of the detrusor muscle (the smooth muscle layer of the bladder wall) while preserving the urothelium (inner lining of the bladder). The goal is to reduce involuntary contractions of the bladder and increase bladder capacity and compliance. 🩺 Indications Severe detrusor overactivity unresponsive to medications Neurogenic bladder dysfunction (e.g., spinal cord injury, spina bifida) Risk of upper urinary tract damage due to high bladder pressures Refractory urge incontinence with poor bladder compliance ⚙️ Procedure Overview Performed via open or laparoscopic surgery Strips of detrusor muscle are excised in a grid-like pattern The bladder lining is left intact to preserve its barrier function May be combined with bladder augmentation in some cases ✅ Benefits Reduces detrusor pressure and overactivity Improves bladder compliance Protects kidneys from backpressure May reduce or eliminate need for catheterization ⚠️ Risks and Complications Bleeding or infection Bladder perforation Urinary retention Need for intermittent catheterization Possibility of recurrence or incomplete symptom relief 🧭 Availability in Nigeria This procedure is highly specialized and typically performed in tertiary urology centers. In Edo State, you may inquire at: University of Benin Teaching Hospital (UBTH) National Hospital Abuja (for referral) #Bladder