http://foundation.beaumonthospitals.com/spina-bifida
Breakthrough Procedure Helps Children with Spina Bifida
2/16/2010
Normal bladder and bowel control, something most of us take for granted, is a painful ordeal for thousands of children nationwide. For 9-year-old Billy Kraser of Scranton, Penn., having an accident was a constant worry. He wore diapers and was home schooled to protect him from embarrassment.
Billy was born with a condition called spina bifida – an incomplete closure of the spinal column that occurs in the embryo within the first months of pregnancy. These children have damage to the nerves that control the bowel and bladder. Most require lifelong catheterization. Besides quality of life issues, recurrent bladder infections and kidney damage can result, leading to dialysis and early death.
But researchers and surgeons at Beaumont Hospital have helped develop a revolutionary surgical technique that may help millions of spina bifida patients gain normal bladder and bowel control. The Department of Urology, backed by funding from the Ministrelli Program for Urology Research and Education (MPURE), collaborated with noted Chinese surgeon Chuan-Guo Xiao on a pilot study involving a procedure that redirects a nerve from the leg to the bladder. Beaumont surgeons, assisted by Dr. Xiao, performed the procedure on two adults with spinal cord injuries in December 2006 and seven children with spina bifida in April 2007. These were the first such surgeries performed in the United States
During the three-hour procedure, surgeons isolate and test the proper nerve for rerouting, then work under magnification to suture the nerves. Within six to 18 months, the rerouted nerve grows and connects with the bladder. One year following surgery, eight of the nine children were urinating without catheterization for the first time.
“The surgery has made a huge difference in Billy’s life,” says Janice Kraser, Billy’s mom. “I’m also encouraged because this research will also help other children with spina bifida. The Beaumont doctors are phenomenal – they made every effort to explain the procedure to all of us, including Billy. They made us very comfortable and reassured us through the entire process.”
Breakthrough Procedure Helps Children with Spina Bifida
2/16/2010
Normal bladder and bowel control, something most of us take for granted, is a painful ordeal for thousands of children nationwide. For 9-year-old Billy Kraser of Scranton, Penn., having an accident was a constant worry. He wore diapers and was home schooled to protect him from embarrassment.
Billy was born with a condition called spina bifida – an incomplete closure of the spinal column that occurs in the embryo within the first months of pregnancy. These children have damage to the nerves that control the bowel and bladder. Most require lifelong catheterization. Besides quality of life issues, recurrent bladder infections and kidney damage can result, leading to dialysis and early death.
But researchers and surgeons at Beaumont Hospital have helped develop a revolutionary surgical technique that may help millions of spina bifida patients gain normal bladder and bowel control. The Department of Urology, backed by funding from the Ministrelli Program for Urology Research and Education (MPURE), collaborated with noted Chinese surgeon Chuan-Guo Xiao on a pilot study involving a procedure that redirects a nerve from the leg to the bladder. Beaumont surgeons, assisted by Dr. Xiao, performed the procedure on two adults with spinal cord injuries in December 2006 and seven children with spina bifida in April 2007. These were the first such surgeries performed in the United States
During the three-hour procedure, surgeons isolate and test the proper nerve for rerouting, then work under magnification to suture the nerves. Within six to 18 months, the rerouted nerve grows and connects with the bladder. One year following surgery, eight of the nine children were urinating without catheterization for the first time.
“The surgery has made a huge difference in Billy’s life,” says Janice Kraser, Billy’s mom. “I’m also encouraged because this research will also help other children with spina bifida. The Beaumont doctors are phenomenal – they made every effort to explain the procedure to all of us, including Billy. They made us very comfortable and reassured us through the entire process.”
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