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Intrathecal baclofen infusion in patients with spasticity and neurogenic bladder disease

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Summary

Nine severely spastic men suffering from neurogenic bladder disease secondary to spinal cord lesion or multiple sclerosis were treated with continuous intrathecal infusion of baclofen using an implanted programmable pump. Bladder function improved in all patients. Significant improvements consisted of an increase in bladder capacity, a decrease in residual volume and a diminution of pelvic floor spasms. Three patients became continent. Intermittent self-catheterization was no longer impeded by adductor spasms. In three cases complete bladder emptying could be achieved. Maximal bladder pressure decreased two subjects, whereas it increased in two others; however for the whole group the changes were not significant.

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Authors and Affiliations

  1. Department of Urology and Anesthesiology, Sophia Hospital, Dr. van Heesweg 2, NL-8025 AB, Zwolle, The Netherlands

    J. J. M. Kums & E. M. Delhaas

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  1. J. J. M. Kums
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  2. E. M. Delhaas
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Kums, J.J.M., Delhaas, E.M. Intrathecal baclofen infusion in patients with spasticity and neurogenic bladder disease. World J Urol 9, 153–156 (1991). https://doi.org/10.1007/BF00202512

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  • DOI: https://doi.org/10.1007/BF00202512

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