Neurogenic bladder of paraplegic patient. Management with radical Y-V-plasty

In an effort to relieve subvesical resistance in the established paraplegic with unacceptable neurogenic vesical dysfunction while simultaneously preserving potency, a radical Y-V-plasty was carried out in 5 patients. The operation was successful in achieving low residual urines and freedom from clinically evident urinary tract infection without unfavorably affecting potency, but it committed the patients to a dependency on a condom appliance which some were unable to tolerate satisfactorily. The procedure is thought to have merit in selected cases; but whenever it is contemplated, a trial with a condom catheter preoperatively is recommended.