Suprapubic bladder neck suspension for the management of urinary incontinence in the myelodysplastic girl

J. P. Gearhart, R. D. Jeffs

Research output: Contribution to journalArticle

Abstract

Four young girls with myelodysplasia who remained incontinent despite intermittent catheterization and pharmacological manipulation underwent suprapubic bladder neck suspension along with bladder augmentation. Of the patients 3 underwent augmentation for decreased detrusor compliance and 1 as a part of a planned urinary undiversion. There was a mean increase in continence length of 1 cm. and a mean increase of 49 cm. water in urethral closure pressure in all patients. All patients currently are dry on intermittent selfcatheterization and oxybutinin chloride with a minimum followup of 18 months with no evidence of upper tract deterioration. Therefore, suprapubic bladder neck suspension can be used successfully in the female patient with decreased outlet resistance. The procedure is easy to perform and would be easily reversible should incontinence recur and a further operation be required.

Original languageEnglish (US)
Pages (from-to)1296-1298
Number of pages3
JournalJournal of Urology
Volume140
Issue number5 PART II
DOIs
StatePublished - Jan 1 1988

ASJC Scopus subject areas

  • Urology

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