Abstract
Purpose: To improve the results of current bladder neck reconstruction a modification was developed to provide tapering, circumferential compression and suspension of the bladder neck. Materials and Methods: Nine female and 15 male patients with spinal dysraphism and incontinence, despite intermittent catheterization and pharmacotherapy, and low outlet resistance underwent surgery. The procedure involves wrapping a pedicle strip of anterior bladder wall around the bladder neck and suspending it to the pubic symphysis. Results: All 9 girls are completely continent, whereas 10 boys are dry and 5 have stress incontinence after 9 to 14 months of followup. Subjective symptoms correlate with changes in leak point pressure. Conclusions: This technique is an efficacious addition to bladder augmentation in female patients with poor compliance and low outlet resistance.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 305-308 |
| Number of pages | 4 |
| Journal | Journal of Urology |
| Volume | 155 |
| Issue number | 1 |
| State | Published - Jan 1996 |
| Externally published | Yes |
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Keywords
- Bladder
- Spinal dysraphism
- Urinary incontinence
ASJC Scopus subject areas
- Urology
Cite this
Bladder wall pedicle wraparound sling for neurogenic urinary incontinence in children. / Kurzrock, Eric A; Lowe, Phillip; Hardy, Brian E.
In: Journal of Urology, Vol. 155, No. 1, 01.1996, p. 305-308.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Bladder wall pedicle wraparound sling for neurogenic urinary incontinence in children
AU - Kurzrock, Eric A
AU - Lowe, Phillip
AU - Hardy, Brian E.
PY - 1996/1
Y1 - 1996/1
N2 - Purpose: To improve the results of current bladder neck reconstruction a modification was developed to provide tapering, circumferential compression and suspension of the bladder neck. Materials and Methods: Nine female and 15 male patients with spinal dysraphism and incontinence, despite intermittent catheterization and pharmacotherapy, and low outlet resistance underwent surgery. The procedure involves wrapping a pedicle strip of anterior bladder wall around the bladder neck and suspending it to the pubic symphysis. Results: All 9 girls are completely continent, whereas 10 boys are dry and 5 have stress incontinence after 9 to 14 months of followup. Subjective symptoms correlate with changes in leak point pressure. Conclusions: This technique is an efficacious addition to bladder augmentation in female patients with poor compliance and low outlet resistance.
AB - Purpose: To improve the results of current bladder neck reconstruction a modification was developed to provide tapering, circumferential compression and suspension of the bladder neck. Materials and Methods: Nine female and 15 male patients with spinal dysraphism and incontinence, despite intermittent catheterization and pharmacotherapy, and low outlet resistance underwent surgery. The procedure involves wrapping a pedicle strip of anterior bladder wall around the bladder neck and suspending it to the pubic symphysis. Results: All 9 girls are completely continent, whereas 10 boys are dry and 5 have stress incontinence after 9 to 14 months of followup. Subjective symptoms correlate with changes in leak point pressure. Conclusions: This technique is an efficacious addition to bladder augmentation in female patients with poor compliance and low outlet resistance.
KW - Bladder
KW - Spinal dysraphism
KW - Urinary incontinence
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UR - http://www.scopus.com/inward/citedby.url?scp=0029655837&partnerID=8YFLogxK
M3 - Article
VL - 155
SP - 305
EP - 308
JO - Journal of Urology
JF - Journal of Urology
SN - 0022-5347
IS - 1
ER -