About this trial
This investigates the outcomes of a surgical technique using the patient's own abdominal wall muscles to help contract the bladder in patients with urinary retention
Eligibility criteria
Qualifiers
Hypo- or acontractility of the bladder documented on urodynamic testing
Injury >1 year ago for spinal cord injury patients, no improvement in contractility with time
Failed sacral nerve stimulation implant for urinary retention treatment (If previously implanted)
Irreversible non-neurogenic bladder acontractility/hypocontractility (i.e myogenic failure after chronic obstruction, aging, frailty, idiopathic)
Disqualifiers
Documented bladder outlet obstruction
Spinal cord lesion above T12
Upper motor neuron lesion (i.e. multiple sclerosis, stroke)
Rectus diastasis, significant abdominal wall hernia, or other anatomic barrier to rectus flap harvest
Trial design
Treatments tested in this trial
- Rectus Abdominal Detrusor Myoplasty