A STUDY ON THE FEASIBILITY OF VESICOMYOTOMY IN PATIENTS WITH MOTOR URGE INCONTINENCE

Objective: To study the feasibility of bladder autoaugmentation in pat ients with motor urge incontinence. Patients and Methods: The clinical and urodynamic data of 5 patients were analyzed before and after trea tment. All patients suffered from unstable bladders with a variable bl adder capacity. All patients had urodynamic evaluation after 3 months. Results: Three months after autoaugmentation 1 patient was continent while 3 were still incontinent. The continent patient had a stable bla dder, whereas the others still suffered from unstable bladder contract ions despite increased bladder capacity and leak point pressure. Concl usion: We did not succeed in abolishing bladder instability. Although our experience is limited, we cannot recommend vesicomyotomy as a rout ine procedure for motor urge incontinence at this time.