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) |
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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 |
Keywords
- Bladder
- Spinal dysraphism
- Urinary incontinence
ASJC Scopus subject areas
- Urology