The latissimus dorsi detrusor myoplasty for functional treatment of bladder acontractility.

Patients with bladder acontractility caused by lower motor neuron lesion are generally dependent on lifelong clean intermittent catheterization with all of its inherent risks. The functional neurovascular transfer of the latissimus dorsi muscle to the pelvis allows the restoration of voluntary voiding. This article describes the operative technique, indications, preoperative considerations, and postoperative care. The literature is reviewed and the latissimus detrusor myoplasty is compared with other functional muscle transfers to restore voluntary micturition.