{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T11:32:15Z","timestamp":1770723135128,"version":"3.49.0"},"reference-count":23,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2012,4,24]],"date-time":"2012-04-24T00:00:00Z","timestamp":1335225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2012,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>To study clinical and urodynamic data along with immediate and long\u2010term morbidity of surgical management of neurogenic bladder in spinal cord injury (SCI) patients<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Single\u2010center retrospective study of 61 SCI patients with neurogenic detrusor overactivity (NDO) related urinary incontinence and\/or sphincter weakness incontinence who underwent supratrigonal cystectomy with Hautmann pouch\u2009\u00b1\u2009concomitant stress incontinence procedure (27.9%; n\u2009=\u200917).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>With a mean follow\u2010up of 5.84 years (range 1\u201320.5) an improved or total continence rate was achieved in 89.7% and 74.1%, respectively. Surgery failed (incontinence persisted) for six (10.3%) patients, three of which had a simultaneous procedure for stress incontinence. On urodynamics, maximum cystometric capacity (MCC) (ml) increased from 305.2 to 509.4 (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05), mean compliance (ml\/cmH<jats:sub>2<\/jats:sub>O) increased from 15 to 42.7 (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05) and mean detrusor pressure at MCC (cmH<jats:sub>2<\/jats:sub>O) fell from 54.1 to 19.1 (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05). Persisent NDO occurred in 20.7% compared to 59% pre\u2010operatively (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05). The overall complication rate was 37.7% but \u2264Clavien grade 2 in 82.6%. Notably, the incidence of bowel dysfunction, namely diarrhea and\/or fecal incontinence was 27.5%. Concomitant outlet surgery was associated with increased morbidity as three (17.6%) complications led to re\u2010intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Supratrigonal cystectomy with Hautmann pouch is an excellent surgical treatment for SCI patients suffering from refractory NDO incontinence. It achieves the main goals of achieving continence (74% complete), reducing rates of infection and preserving upper tract function, which is reflected in the improvement on urodynamics. The incidence of secondary bowel dysfunction and potential risk of a simultaneous procedure for stress incontinence needs to be discussed. Neurourol. 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