Bladder wall pedicle wraparound sling for neurogenic urinary incontinence in children

Eric A Kurzrock, Phillip Lowe, Brian E. Hardy

Research output: Contribution to journalArticle

17 Scopus citations

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 languageEnglish (US)
Pages (from-to)305-308
Number of pages4
JournalJournal of Urology
Volume155
Issue number1
StatePublished - Jan 1996
Externally publishedYes

Keywords

  • Bladder
  • Spinal dysraphism
  • Urinary incontinence

ASJC Scopus subject areas

  • Urology

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