What is also clear is that the clinical
benefit of the procedure is not at all similar to previous reports.
One of the most curious findings is the discrepancy between urodynamic data and subjective voiding.One patient exhibited a decrease in capacity and an absence of reflex arc, and yet he subjectively reported improved bladder and bowel function! I could
not help but speculate that his voiding after the
procedure could simply be the bladder emptying via
intra-abdominal pressure generation against an
open bladder neck, given his preoperative stress incontinence.
[quote]Unless the innovators provide a sound argument and data for the validity of the procedure, there is a great danger of its improper and rapid adaptation by patients and the medical community at large.[quote]