Urethral lengthening with anterior bladder wall flap for urinary incontinence: a new approach
Rev. HCPA & Fac. Med. Univ. Fed. Rio Gd. do Sul
; 14(3): 122-5, dez. 1994. ilus
Article
em En
| LILACS
| ID: lil-155246
Biblioteca responsável:
BR18.1
ABSTRACT
Urethral irregularity (impending catheterization) and failure to achieve continence are common complications in surgery for urinary incontinence. We describe a surgical technique using an anterior bladder wall flap that is sutured to the posterior wall in an onlay fashion creating a flap valve mechanism. Experimental work in dogs demonstrated a significant increase in the leak point pressure in the surgical group when compared to controls (p= 0.019). Voiding cystourethrography and bladder inspection demonstrated an anterior flap valve with no fistula formation in all animals. Histological examination showed a viable anterior bladder wall flap in all cases. This technique was then applied to 6 patients with neurogenic bladder and low urethral resistance that failed to resolve with medical treatment. Urinary continence was achieved in 4 patients. In 1 patient a vesicourethral fistula developed 3 months postoperatively, since the mother failed to catheterize for 12 hours. This technique is a useful alternative in the treatment of urinary incontinence
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Coleções:
01-internacional
Base de dados:
LILACS
Assunto principal:
Incontinência Urinária
Limite:
Animals
/
Humans
Idioma:
En
Revista:
Rev. HCPA & Fac. Med. Univ. Fed. Rio Gd. do Sul
/
Revista do HCPA & Faculdade de Medicina da Universidade Federal do Rio Grande do Sul
/
Revista do Hospital de Clínicas de Porto Alegre e Faculdade de Medicina da Universidade do Rio Grande do Sul
Assunto da revista:
MEDICINA
Ano de publicação:
1994
Tipo de documento:
Article
País de publicação:
Brasil