Remote complications like vault granulation, chronic pelvic pain, atonic bladder and dyspareunia are slightly more in conventional suture ligation group.
effects 4(16%) 2(8%) Febrile morbidity 4(16%) 5(20%) Table 5: Analysis based upon remote late complications Remote Complications LigaSure Suture Ligation Vault granulation 1(4%) 1(4%) Chronic pelvic pain 3(12%) 5(20%) Atonic bladder 0(0%) 1(4%) Dyspareunia 1(4%) 0(0%)
###A large atonic bladder with bilateral vesico-ureteric reflux and funneling of urethra.
A large atonic bladder with bilateral vesico- ureteric reflux and funnelling of urethra is commonly encountered.15
At the conclusion of the study period, 1 (7%) patient continued to have total incontinence; 3 (20%) patients lived with improved incontinence (<1 pad per day); 3 (20%) patients self-catheterized and dilated (1 due to an atonic bladder
and 2 for recurrent structuring); 1 (7%) patient reported voiding well; 3 (20%) patients underwent cystectomy with ileo-conduits; 2 (13%) patients had chronic hematuria; and 2 (13%) passed away (1 from comorbid medical disease and 1 from a pulmonary embolus a week before the scheduled cystectomy).
While there, she was diagnosed with spinal cord compression and was hospitalized December 20-30 in Ho Chi Minh City, Vietnam, where an indwelling catheter was placed in her atonic bladder
. She received ceftazidime and metronidazole during that hospitalization.
This is known as atonic bladder
, and can be treated with medication or urinary catheterization.
Urodynamic studies showed an atonic bladder
. Magnetic resonance imaging of the brain and spine and chest radiography were normal.
Many patients with medical conditions that require CIC (for example, prune belly syndrome, posterior urethral valves, multiple sclerosis, atonic bladder
, and urethral stricture) have urethral sensation and complain of discomfort when catheterizing.
Laparotomy was performed and it was seen that there was no cystic mass in the abdominal cavity except for atonic bladder; so we decided that the cause of abdominal distention was atonic bladder, not another cystic mass (Fig.
Methods of examination which have been used to investigate the atonic bladder include urodynamic tests to determine bladder function, cystograms to evaluate for vesicoureteral reflux, and cystoscopy to evaluate bladder anatomy.
The other possible causes of neurogenic bladder are multiple sclerosis and spinal cord injury.[sup.5,6] Although our patient had no neurological symptoms and no pathological neurological finding on physical examination, we performed cranial and lumbosacral magnetic resonance imaging to exclude neurogenic causes of atonic bladder. Neither multiple sclerosis nor lumbar disc protrusion or cauda equina syndrome was detected.