Medical College of Wisconsin
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Urinary continence is well preserved after total urogenital mobilization. J Urol 2004 Dec;172(6 Pt 1):2384-6

Date

11/13/2004

Pubmed ID

15538274

DOI

10.1097/01.ju.0000140955.88300.d8

Scopus ID

2-s2.0-8644260114 (requires institutional sign-in at Scopus site)   37 Citations

Abstract

PURPOSE: Total urogenital sinus mobilization (TUM) has been advocated as a successful technique in the repair of common urogenital sinus anomalies. To our knowledge the long-term effects on continence, voiding pattern and bowel control have not been published. We present our experience and assessment regarding these issues.

MATERIALS AND METHODS: We retrospectively reviewed our experience with TUM. Medical records were reviewed for each patient along with long-term followup by telephone questionnaire and clinical visits. Uroflowmetry was performed in recent patients who were old enough to cooperate in the study.

RESULTS: A total of 13 females underwent TUM. Medical records were reviewed for all patients. Patients were divided into 2 groups. Group 1 consisted of 7 patients who underwent surgery before the age of achieving continence, and group 2 consisted of 6 patients who were incontinent before surgery. One patient in group 2 was lost to long-term followup. Two children in group 1 have enuresis, a 27-month-old with day and nighttime enuresis and a 3-year-old with only nocturnal enuresis. All patients in group 2 were continent immediately postoperatively.

CONCLUSIONS: TUM preserves urinary continence immediately postoperatively among patients who are continent before surgery. Furthermore, it does not appear to delay the natural development of continence among patients undergoing surgery before the age of toilet training.

Author List

Kryger JV, González R

Author

John V. Kryger MD Professor in the Urologic Surgery department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adolescent
Adrenal Hyperplasia, Congenital
Child
Child, Preschool
Disorders of Sex Development
Female
Gonadal Dysgenesis, Mixed
Gynecologic Surgical Procedures
Humans
Infant
Retrospective Studies
Urinary Incontinence
Urologic Surgical Procedures