ABSTRACT
Neurogenic bladder can be caused by a spinal cord injury (SCI), diseases such as myelomeningocele, and radical surgery of pelvic organs. Since this book focuses on adult neurogenic bladder, the Xiao procedure for patients with SCI is the focus of this chapter. In 1995, first clinical trial of the artificial somatic-central nervous system-autonomic reflex pathway procedure was instituted. Fifteen male volunteers with overactive neurogenic bladder and DESD secondary to complete suprasacral SCI underwent the Xiao procedure. A National Institutes of Health supported clinical trial was carried out at New York University Medical Center using the Xiao procedure for neurogenic bladder caused by complete SCI. Five months postsurgery, she had already regained voluntary voiding. Tuite et al. performed the Xiao procedure in a 10-year-old boy with chronic T10-T11 paraplegia, but it failed to produce effective results due to neuroma formation. Peters and his colleagues at Beaumont Hospital reported the US pilot study of Xiao procedure for children with spina bifida with neurogenic bladder.
