Laparoscopic endopelvic sacral implantation of a Brindley controller for recovery of bladder function in a paralyzed patient

6533b861fe1ef96bd12c43c6

RESEARCH PRODUCT

Laparoscopic endopelvic sacral implantation of a Brindley controller for recovery of bladder function in a paralyzed patient

Marc Possover Vito Chiantera Jan Baekelandt Andreas M. Kaufmann

subject

Finetech-Brindley bladder; LION technique; Spinal cord injury Neurosurgical Procedure urologic and male genital diseases Neurosurgical Procedures LION technique Laparoscopy Defecation Spinal cord injury media_common Spinal Cord Injurie Urinary bladder medicine.diagnostic_test General Medicine Middle Aged musculoskeletal system female genital diseases and pregnancy complications Electrodes Implanted medicine.anatomical_structure Treatment Outcome Neurology Patient Satisfaction Anesthesia Female Paraplegia Spinal Nerve Roots Human musculoskeletal diseases medicine.medical_specialty Sacrum Pelvi media_common.quotation_subject Urinary Bladder Urination Electric Stimulation Therapy Spinal cord injury Urination Pelvis Spinal Nerve Root medicine Retroperitoneal space Humans Retroperitoneal Space Urinary Bladder Neurogenic Pelvis Spinal Cord Injuries Paraplegia business.industry medicine.disease Sacrum Surgery body regions Finetech-Brindley bladder Laparoscopy Neurology (clinical)business

description

Background: A number of techniques are being investigated to accomplish bladder control recovery in paralyzed patients using the neurostimulation, but currently, all techniques are based on the dorsal implantation of the electrodes using a laminectomy. Methods: On 27 April 2006 we performed a laparoscopic implantation of a Finetech-Brindley bladder controller on the endopelvic sacral roots in a Th8 completely paralyzed woman who had previously undergone the removal of a Brindley controller due to an arachnoiditis after extrathecal implantation with intradural sacral deafferentation. Results: We required about 3.5 h for the entire surgical procedure; no complications occurred and the patients went home on 5th postoperative day. The patient is now able to void empty her bladder and her rectum using the controller without further need for self-catheterisation. Conclusions: The presented new technique of laparoscopic implantation of electrodes on the endopelvic portion of the sacral nerve roots is an option to be considered in all paralyzed patients with further wish for electrical induced miction/defecation after previous deafferentation. © 2008 International Spinal Cord Society All rights reserved.

year	journal	country	edition	language
2008-01-01

10.1038/sj.sc.3102065 http://hdl.handle.net/11695/5080