RESECTION OF SUPERIOR HYPOGASTRIC PLEXUS AND SACRAL SYMPATHETIC GANGLIONS: FOR THE RELIEF OF PAIN IN THE BLADDER

The present status of treatment of incurable tuberculous cystitis as well as pain arising in the bladder in general, and especially the rather discouraging opinions that can be gleaned from the literature with regard to its treatment by superior hypogastric (presacral) neurectomy, lead us to report our results in a series of cases of intractable painful cystitis in which relief was obtained by the use of pelvic sympathetic surgery. The treatment of this distressing condition in the past has been only moderately successful and is used in only a relatively small number of the patients affected. The newer knowledge of the nerve pathways to and from the bladder, as well as recent concepts of the physiology of the bladder in man, has made it possible to relieve greatly not only pain arising in the bladder but also other symptoms, such as frequency and nocturia associated with it. All types of

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