Intervention Protocol

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

  1. Elaine Utomo,
  2. Bertil Blok*

Editorial Group: Cochrane Incontinence Group

Published Online: 5 OCT 2011

Assessed as up-to-date: 6 SEP 2011

DOI: 10.1002/14651858.CD004927.pub3

How to Cite

Utomo E, Blok B. Surgical management of functional bladder outlet obstruction in adults with neurogenic bladder dysfunction (Protocol). Cochrane Database of Systematic Reviews 2011, Issue 10. Art. No.: CD004927. DOI: 10.1002/14651858.CD004927.pub3.

Author Information

  1. Erasmus Medical Center, Urology, Rotterdam, Zuid-Holland, Netherlands

*Bertil Blok, Urology, Erasmus Medical Center, Room H-1060's-Gravendijkwal 230, Rotterdam, Zuid-Holland, 3015 CE, Netherlands. b.blok@erasmusmc.nl.

Publication History

  1. Publication Status: Edited (no change to conclusions)
  2. Published Online: 5 OCT 2011

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Abstract

  1. Top of page
  2. 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.