Surgical management of functional bladder outlet obstruction in adults with neurogenic bladder dysfunction

 

Abstract

This is the protocol for a review and there is no abstract. The objectives are as follows:

To determine the effects of surgical management for urinary incontinence related to functional bladder outlet obstruction in patients with neurogenic bladder dysfunction. The following comparisons will be made:

1. Sphincterotomy
   
   1. Sphincterotomy versus no intervention;
      
   2. Sphincterotomy versus other non-surgical therapy;
      
   3. Sphincterotomy versus other surgical therapy.
      
2. Implantable urethral stents
   
   1. Implantable urethral stents versus no intervention;
      
   2. Implantable urethral stents versus other non-surgical therapy;
      
   3. Implantable urethral stents versus other surgical therapy.
      
3. Urethral balloon dilatation
   
   1. Urethral balloon dilatation versus no intervention;
      
   2. Urethral balloon dilatation versus other non-surgical therapy;
      
   3. Urethral balloon dilatation versus other surgical therapy.
      
4. Intra-urethral Botulinum toxin injection
   
   1. Intra-urethral Botulinum toxin injection versus no intervention;
      
   2. Intra-urethral Botulinum toxin injection versus other non-surgical therapy;
      
   3. Intra-urethral Botulinum toxin injection versus other surgical therapy.
      
5. Intrathecal baclofen
   
   1. Intrathecal baclofen versus no intervention;
      
   2. Intrathecal baclofen versus other non-surgical therapy;
      
   3. Intrathecal baclofen versus other surgical therapy.
      
6. Pudendal nerve block
   
   1. Pudendal nerve block versus no intervention;
      
   2. Pudendal nerve block versus other non-surgical therapy;
      
   3. Pudendal nerve block versus other surgical therapy.
      
7. Suprapubic catheterization
   
   1. Suprapubic catheterization versus no intervention;
      
   2. Suprapubic catheterization versus other non-surgical therapy;
      
   3. Suprapubic catheterization versus other surgical therapy.
      

1. Sphincterotomy versus no intervention;
   
2. Sphincterotomy versus other non-surgical therapy;
   
3. Sphincterotomy versus other surgical therapy.
   

1. Implantable urethral stents versus no intervention;
   
2. Implantable urethral stents versus other non-surgical therapy;
   
3. Implantable urethral stents versus other surgical therapy.
   

1. Urethral balloon dilatation versus no intervention;
   
2. Urethral balloon dilatation versus other non-surgical therapy;
   
3. Urethral balloon dilatation versus other surgical therapy.
   

1. Intra-urethral Botulinum toxin injection versus no intervention;
   
2. Intra-urethral Botulinum toxin injection versus other non-surgical therapy;
   
3. Intra-urethral Botulinum toxin injection versus other surgical therapy.
   

1. Intrathecal baclofen versus no intervention;
   
2. Intrathecal baclofen versus other non-surgical therapy;
   
3. Intrathecal baclofen versus other surgical therapy.
   

1. Pudendal nerve block versus no intervention;
   
2. Pudendal nerve block versus other non-surgical therapy;
   
3. Pudendal nerve block versus other surgical therapy.
   

1. Suprapubic catheterization versus no intervention;
   
2. Suprapubic catheterization versus other non-surgical therapy;
   
3. Suprapubic catheterization versus other surgical therapy.