Subject(s)
Paraplegia , Activities of Daily Living , Adolescent , Adult , Child , Child, Preschool , Diuresis , Edema/etiology , Female , Gastrointestinal Transit , Humans , Male , Pain/etiology , Paraplegia/complications , Paraplegia/physiopathology , Sexual Dysfunction, Physiological/etiology , Skin Diseases/etiology , Skin Ulcer/prevention & control , Sweating , Urinary Tract Infections/prevention & controlABSTRACT
In spite of sphincter paralysis, the peripheric moto-neurone lesions induces bladder retention. Secondary retention forces fail to open the bladder neck owing to detrusor flaccidity. Long-dated, abdominal straining increases this static dysfunction by inducing posterior bladder prolapsus upon a flaccid perineum. This disorder est characterized by three components: --posterior prolapsus of the bladder, --horizontal position of the proximal urethra, --deepening of Douglas peritoneum. These patients may get a micturation using a perineal compression; similarly, surgical management consists in a making-up and fastening of the bladder by means of the rectum which is used as a hammack (colocystopexia). The procedure had been used in five cases with good results.