Within seven years, 139 patients with multiple sclerosis or allied disorders were treated with transurethral resection for stenosis of the bladder neck. Six-month follow-ups were performed in 134 patients alive at that time. At the follow-up, one-quarter of the patients were practically symptom-free, and a total of three-quarters were improved. The results were best in the group without incontinence. However, among 99 patients with urge incontinence, more than one-third had become continent, and in another quarter the incontinence had decreased. Bladder-neck stenosis must be suspected in multiple sclerosis patients with difficulty in bladder emptying not referable to acute aggravation of the disease, and in patients with urge incontinence in whom drug therapy has not had a satisfactory effect.

Keywords:
Bladder-neck resection, Multiple sclerosis, Neurogenic bladder, Neurological rehabilitation
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© 1973 S. Karger AG, Basel
1973
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