Abstract
The treatment of urge incontinence in patients with detrusor instability who fail to respond to oxybutynin is reviewed. Transvesical injection of the pelvic plexuses with phenol is useful in women over the age of 55 (or thereabouts), but the response rate in younger women is poor and the technique cannot be used in men because of the risk of producing impotence. When the phenol technique fails or is contraindicated, ‘clam’ ileocystoplasty is almost invariably effective although postoperative voiding dysfunction is common albeit easily corrected. Apart from refractory detrusor instability, the ‘clam’ technique is applicable to a wide range of urodynamic disorders and is reducing the need for substitution cystoplasty for functional lower urinary tract reconstruction.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
