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To transect the bladder as a deliberate procedure in order to reduce irritative symptoms was first tried in 1967 on a 58-year-old female patient with interstitial cystitis. The operation attempted to achieve a supratrigo- nal denervation by dividing all the intramural neurons in the transection line and all the inferior lateral communications just outside the bladder. This, it was thought, would leave trigonal and bladder neck sensation intact yet reduce sensory appreciation and abnormal bladder contraction. Indeed, in the case reported the aim was achieved and bladder spasms eradicated, but at the cost of efficient voiding so that an appropriate selective sphincterotomy was required (Turner-Warwick and Ashken 1967).
KeywordsInterstitial Cystitis Nocturnal Enuresis Urologic Surgery Ureteric Catheter Ureteric Orifice
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