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Neuro-Urology pp 421-433 | Cite as

Sacral Dorsal Rhizotomy and Sacral Anterior Root Stimulation in Neurogenic Patients: The Brindley Procedure

  • Frank M. J. Martens
  • John Heesakkers
Chapter

Abstract

The Brindley procedure combines two procedures for management of multiple organ dysfunction by controlling not only micturition but also defecation and erections in males. Firstly, sacral anterior root stimulation (SARS) of efferent nerves enables micturition, defecation, and erections. Secondly, a dorsal rhizotomy treats detrusor overactivity, prevents detrusor-external sphincter dyssynergia during stimulation, and diminishes autonomic dysregulation by transecting afferent nerves. The technique, selection of patients, and clinical results are discussed in this chapter.

Keywords

Neurogenic bladder Neurogenic detrusor overactivity Brindley procedure Sacral anterior root stimulation Rhizotomy 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of UrologyRadboudumcNijmegenThe Netherlands

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