Not Yet RecruitingNot Applicable

Rectus Abdominis Detrusor Myoplasty for Urinary Retention

50 participantsStarted 2026-05-01

Plain-language 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

Who can participate

Age range18 Years – 75 Years

SexALL

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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