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Bladder Re-innervation Procedures

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Handbook of Neurourology

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Abstract

For many people a magnificent improvement in quality of life could be achieved if the urinary bladder could be reinnervated. Over the last quarter century, a “new” surgical technique seemed to fulfill this dream. The intradural surgical “skin-CNS-bladder” reflex pathway was created after the healing phase (regrown from the nerves the endorgan) by stimulation of the L-dermatome voiding. This published experimental setting was “seemingly carried out” in SCI and spina bifida patients. The inventor and surgeon CG Xiao claimed to have over 80% success in over 1500 patients that he had treated. However, none of the international peer-reviewed articles, especially the double-blinded RTC of GF Tuite et al. (2013), were able to confirm this “fantastic” outcome. Since 2016, these amazing results and further investigations have become silent and no further results in peer-reviewed have been published, either by CG Xiao or any other international investigators, which confirm and match this reported 80% success rate.

“If the operation succeeds, the patients are the biggest beneficiaries; if it fails, the patients are the hardest hit victims.” Research, especially in this area, desperately needs to progress.

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Author information

Authors and Affiliations

  1. Department of Urology, Universitätsklinikum OWL der Universität Bielefeld Campus Klinikum Lippe, Detmold, Germany

    Karl-Dietrich Sievert

  2. Department of Urology, Comprehensive Cancer Center, Medical University Vienna, Vienna General Hospital, Vienna, Austria

    Karl-Dietrich Sievert

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  1. Karl-Dietrich Sievert
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Correspondence to Karl-Dietrich Sievert .

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Editors and Affiliations

  1. Department of Urology, China Rehabiliation Research Center Capital Medical University, Beijing, China

    Limin Liao

  2. Department of Urology, Medical University Innsbruck, University Hospital, Innsbruck, Austria

    Helmut Madersbacher

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Sievert, KD. (2023). Bladder Re-innervation Procedures. In: Liao, L., Madersbacher, H. (eds) Handbook of Neurourology. Springer, Singapore. https://doi.org/10.1007/978-981-16-7939-1_49-1

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  • DOI: https://doi.org/10.1007/978-981-16-7939-1_49-1

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