Incontinencia de orina en la parapléjica: tratamiento quirúrgico. / [Urinary incontinence in the paraplegic woman: surgical treatment]

ABSTRACT

It is described by first time a technic used for the treatment of urinary incontinence on the paraplegic patients that restore the capacity of self control and micturition equivalent to a normal woman, without use of prosthesis. Basically, it consists in a procedure of an aponeurotic belt (Ingelheim type) but it is tractioned by a fingering of the anterior rectum of the abdomen or oblique. For this reason, the tonic contraction or the enforcement produces the elevation of the rear lip of the vesical neck and its sure shut, such as happens in the normal woman. The relaxing opens the neck for the micturition. The procedure is simple, with common instrumental, without prosthesis and at low cost. Two patients have been operated so far, with excellent results and they were controlled for 5 years until now presenting normal conditions.