Long-term results of suprapubic bladder neck closure for treatment of the devastated outlet. Urology 2005 Aug;66(2):311-5
Date
07/26/2005Pubmed ID
16040086DOI
10.1016/j.urology.2005.03.009Scopus ID
2-s2.0-23744514307 (requires institutional sign-in at Scopus site) 19 CitationsAbstract
OBJECTIVES: To assess the long-term success of suprapubic bladder neck closure in patients with irreparably damaged bladder outlets.
METHODS: A cohort of 35 patients with intractable urinary incontinence secondary to severe posterior urethral/bladder neck damage underwent suprapubic bladder neck closure. Patients were assessed with regard to the success of procedure, as well as early and late complications.
RESULTS: With a mean follow-up of 79 months (range 12 to 164), suprapubic bladder neck closure was successful in 29 (83%) of 35 patients. One revision of the bladder neck improved the success rate to 94% (33 of 35). Early and late complications, excluding bladder neck fistula, were reported in 3 (9%) and 5 (14%) of 35 patients, respectively.
CONCLUSIONS: High success and acceptable complication rates can be achieved with suprapubic bladder neck closure for the treatment of severe urinary incontinence secondary to a devastated bladder outlet.
Author List
O'Connor RC, Stapp EC, Donnellan SM, Hovey RM, Tse VW, Stone ARAuthor
Robert Corey O'Connor MD Professor in the Urologic Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdolescentAdult
Aged
Female
Follow-Up Studies
Humans
Male
Middle Aged
Time Factors
Urinary Bladder
Urinary Incontinence
