NCT07379814Recruiting
Rectus Abdominis Detrusor Myoplasty for Urinary Retention
University Hospitals Cleveland Medical Center
Start Date
5/1/2026
Completion Date
5/1/2036
Summary
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
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.
Eligibility Criteria
Age Range: 18 years to 75 years
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
Interventions
PROCEDURE
Rectus Abdominal Detrusor Myoplasty
Conditions
Urinary RetentionUrinary Retention After ProcedureUrinary Retention Postoperative
Locations
University Hospitals Cleveland Medical Center
Cleveland, Ohio 44106
United States