Rectus Abdominis Detrusor Myoplasty for Urinary Retention

Purpose

This investigates the outcomes of a surgical technique using the patient's own abdominal wall muscles to help contract the bladder in patients with urinary retention

Conditions

  • Urinary Retention
  • Urinary Retention After Procedure
  • Urinary Retention Postoperative

Eligibility

Eligible Ages
Between 18 Years and 75 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Hypo- or acontractility of the bladder documented on urodynamic testing - Injury >1 year ago for spinal cord injury patients, no improvement in contractility with time - Failed sacral nerve stimulation implant for urinary retention treatment (If previously implanted) - Irreversible non-neurogenic bladder acontractility/hypocontractility (i.e myogenic failure after chronic obstruction, aging, frailty, idiopathic) - Undergoing RADM

Exclusion Criteria

  • Documented bladder outlet obstruction - Spinal cord lesion above T12 - Upper motor neuron lesion (i.e. multiple sclerosis, stroke) - Rectus diastasis, significant abdominal wall hernia, or other anatomic barrier to rectus flap harvest - Life expectancy <10 years - Pregnant at time of surgery

Study Design

Phase
Study Type
Observational [Patient Registry]
Observational Model
Cohort
Time Perspective
Prospective

Arm Groups

ArmDescriptionAssigned Intervention
Individiuals receiving Rectus Abdominis Detrusor Myoplasty (RADM) Individuals diagnosed with refractory urinary retention that have failed conventional approaches to treat urinary retention such as catheterization and neurostimulation.
  • Procedure: Rectus Abdominal Detrusor Myoplasty
    In this surgery, the rectus abdominis muscle will be elevated and wrapped circumferentially around the bladder to augment bladder contraction in individuals with bladder acontractility or hypocontractility.

Recruiting Locations

University Hospitals Cleveland Medical Center
Cleveland, Ohio 44106
Contact:
Seyed Tabei
216-844-8963
seyedsajjad.tabei@uhhospitals.org

More Details

Status
Recruiting
Sponsor
University Hospitals Cleveland Medical Center

Study Contact

Seyed Sajjad Tabei
216-844-8963
seyedsajjad.tabei@uhhospitals.org

Detailed Description

This study is about a surgery called Rectus Abdominis Detrusor Myoplasty (RADM). In this surgery, a small piece of the belly muscle is moved and wrapped around your bladder to help it squeeze and empty urine. Doctors are studying this surgery because current treatments, like catheters or nerve implants, don't always work for people whose bladders don't contract on their own. This study monitors the patients' progress for a year following this surgery.