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July 19, 1971

Neurological Urology: Physiology of Micturition, Its Neurological Disorders and Sequelae

Author Affiliations

Loyola University Stritch School of Medicine Hines, Ill


by Ernest Bors and A. Estin Comarr, 454 pp, 53 illus, $19.50, Basel: S. Karger AG (Baltimore: University Park Press), 1971.

JAMA. 1971;217(3):346. doi:10.1001/jama.1971.03190030070034

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When I was a resident, Dr. Bors was called to my hospital to reorganize the urological spinal cord injury clinic. He had a precise professional attitude then and always thought of the ulimate welfare of the patient. I now see these qualities in great measure in his writing.

This book is divided into two major parts. The first presents basic principles and the second is clinical. This last, comprising almost two thirds of the entire volume, contains in chapter 6 the author's classification of the neurogenic bladder. Here is defined the concept of the "balanced bladder," that is, one with less than 10% of total capacity as residual urine. The bibliography has over 2,000 items.

Surgically, the authors are convincingly conservative, especially when treating the "spinal man," as they call the patient with spinal cord injury. They caution against operative adventure unless it is the obviously less injurious course. The